Patient Paperwork

Path to Wellness Clinic of Chiropractic provides our patient form(s) online, allowing you to conveniently complete them in the comfort of your own home or office.

  • All forms are available as PDF files, and AdobeReader® is required to view them.
  • If you don't have AdobeReader® installed on your computer, you can download it by clicking here.
  • Simply download the required form(s), print them out, and fill in the necessary information.
  • Remember to bring the completed form(s) to your appointment.

Download New Patient Paperwork

* Cash or Insurance patients fill this out

Download Auto Accident Paperwork

* Auto Accident patients fill this out

Download Prenatal Intake Form

New Patient

Special

Don't miss out on our new patient offer!

Click to learn more

Office Hours

Monday

9:00am - 12:00pm

3:00pm - 6:00pm

Tuesday

2:00pm - 6:00pm

Wednesday

9:00am - 12:00pm

3:00pm - 6:00pm

Thursday

10:00am - 12:00pm

3:00pm - 5:00pm

Friday

9:00am - 12:00pm

Saturday

CLOSED

Sunday

CLOSED

Path to Wellness Clinic of Chiropractic

3535 Hwy 17 Suite 11

Fleming Island, FL 32003

904-644-8100

New Patient Special

New to the office? Take advantage of our Special Offer!

"I've been under the care of Dr. Chitra for the past two years, and I can't express enough how grateful I am for her expertise. Working in a warehouse involves constant heavy lifting, and Dr. Chitra has been instrumental in keeping my back in great shape. Her skillful approach and dedication has helped me tremendously. I highly recommend Dr. Chitra for anyone seeking effective and compassionate chiropractic care."

Corey Burgos

Path to Wellness Clinic of Chiropractic

3535 Hwy 17 Suite 11

Fleming Island, FL 32003

904-644-8100