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Rumley Family Chiropractic P.A. 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 necessary form(s), print it out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.

New Patient Intake Form - Required

Download & Print Form


Auto Accident Intake Form

Download & Print Form


HIPAA - Patient Home Packet

For reference only. No need to bring it into the office!

Download & Print

Sign up using the form or call 407-277-0046 to make your appointment.

THIS ---->https://orlandopainfreecom.chiromatrixbase.com/online-forms.html

Office Hours

DayMorningAfternoon
Monday9:00-12:002:00-6:30
Tuesday8:00-12:001:00-5:00
Wednesday9:00-12:002:00-6:30
Thursday8:00-12:001:00-5:00
Friday8:00-12:001:00-5:00
Saturdayclosedclosed
Sundayclosedclosed
Day Morning Afternoon
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
9:00-12:00 8:00-12:00 9:00-12:00 8:00-12:00 8:00-12:00 closed closed
2:00-6:30 1:00-5:00 2:00-6:30 1:00-5:00 1:00-5:00 closed closed

Testimonial

I got into a car accident. My first one ever in fact. I wasn't really sure where to turn or what to do, but I knew my back and neck were pretty messed up and I needed some help. I did a quick Google search and found exactly what I needed. The Rumley Family website was very professional appearing and they got back to me quickly. I started my treatment and felt like a part of the family from the get go. Treatment was consistent and they paid deep attention to where I actually hurt unlike some doctors that tell you what hurts when it doesn't. Im very satisfied and I would come back again

Zebulon Clark
Orlando, FL

Click here to post a review

 

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