New Patient Forms

Please follow these instructions. *You must have Adobe Reader. Download it here.

  1. Click links below to download and save your forms.
  2. Open the files and fill out your forms on your computer.
  3. We do require official digital signatures. Adobe Reader will walk you through the process when you click on the signature fields. You may be required to save the form with each signature; simply overwrite the file each time if prompted to save.
  4. Email your forms to info@empowerchirofl.com

Not able to fill out the forms on a computer? Feel free to print the forms, complete them, and bring them with you to your first appointment.

Having trouble completing the PDF forms? Ensure that you have selected the hand icon in your PDF viewer, located towards the center of the tools bar in Adobe Reader (click for image).

Important! If you don't have Adobe Reader, you can download it from here: