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PATIENT FORMS

Even if you just want to improve your overall health, our chiropractor can help you achieve your wellness goals! Please visit the testimonials page to see what our patients are saying about our Mount Dora chiropractor and getting regular chiropractic treatments.

At your first visit to Wise Chiropractic, Dr. Jonathan Wise or Dr. Robert Bodine will explain the science behind how chiropractic care works, and give you a full evaluation to see if chiropractic care is right for you. If there is a good fit, we can develop a plan of chiropractic care that is specific to your condition and health goals.

Auto Accident Forms
If you have been in an Auto Accident or you are visiting our office due to a Personal Injury, we ask that you complete the attached PIP paperwork. This will help us assess your needs more accurately.
PIP Paper Work
Kids Care & Pediatric Care
Kids need chiropractic care too! If your child is in need of care, we ask that you please complete the attached paperwork. This will help us assess your child's unique pediatric needs more accurately.
Kids New Patient Paper Work
Returning Patient Update
If you have been a patient in the past and are returning to us after more than 3 months, we ask that you complete the attached paperwork. This will help us assess your needs more accurately.
Patient Update Form
New Patient Forms
We ask that all our new patients complete either the online New Patient clipboard below or the attached New Patient Paperwork. If you cannot access this form or feel more comfortable with pen and paper you may print and complete the below form or arrive 15 minutes early to fill it out in the office. This will help us assess your needs more accurately.
New Patient Paper Work