New Patient Paperwork

Ancient City Chiropractic offers our patient form(s) online so they can be completed in the convenience of your own home or office.

  • All forms are PDF files. You will need AdobeReader® to view them.
  • If you do not already have AdobeReader® installed on your computer,
    Click Here to download.
  • Download the necessary form(s), print them out and fill in the required information.
  • Bring the necessary form(s) to your appointment.
  • New Patient Pediatric Paperwork

    Click to Download

  • New Patient Paperwork

    Click to Download

  • Consent and HIPAA forms

    Click to Download

OFFICE HOURS


Monday
8:00am - 11:00am
3:00pm - 6:00pm


Tuesday
8:00am - 11:00am


Wednesday
8:00am - 11:00am
3:00pm - 6:30pm


Thursday
2:00pm - 6:00pm


Friday
8:00am - 11:00am


Saturday
(By Appointment Only)
9:30am - 10:00am


Sunday
Closed

Ancient City Chiropractic

84 Theatre Drive Suite 500
St. Augustine, FL 32086

(904) 222-6440