New Patient Form 

(Non-Auto Accident Patients)

Chiropractor in Pensacola

Stern Chiropractic Clinic offers our new 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! Just follow these simple steps:

Step 1

• Make an appointment by calling us at  (850)397-2558.

Step 2

• If you do not already have AdobeReader® installed on your computer, Click Here to download it for free.

Step 3

• Download a new patient form by clicking on this file: New Patient Paperwork.pdf

Step 4

• A new tab will open with the form for you to type in your information on your computer. Please use your legal name on the form! Once you have filled out the entire form, click the save button  and save the file to your computer. Please rename the file as: YourLastName,YourFirstName_NewPatientForm.pdf

Step 5

• Email [email protected] with your form attached.