Winter Haven Wellness Center offers our patient forms online so they can be completed in the convenience of your own home or office, before you even arrive to our chiropractic office.

  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the new patient form and bring it with you to your appointment!


New Patient Health History Form - Required

This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

Download & Print Form



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Location

156 2nd St SW Winter Haven, FL 33880

Office Hours

Monday

10:00 am - 6:00 pm

Tuesday

Closed

Wednesday

10:00 am - 6:00 pm

Thursday

10:00 am - 6:00 pm

Friday

10:00 am - 6:00 pm

Saturday

10:00 am - 2:00 pm

Sunday

By Appt

Monday
10:00 am - 6:00 pm
Tuesday
Closed
Wednesday
10:00 am - 6:00 pm
Thursday
10:00 am - 6:00 pm
Friday
10:00 am - 6:00 pm
Saturday
10:00 am - 2:00 pm
Sunday
By Appt