The Boynton Beach Chiropractor to see - Chiropractor Boynton Beach

New Patient Paperwork for Zuckerman Family Wellness Center

We offer our paperwork on line so you can complete it in the convenience of your own home.


New Patient Demographic Form

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Health History

This lets us know what’s happened, but perhaps more important, where do you want to take your health?

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Records Release

This gives us authorization for release of protected health information.

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Informed Consent

A patient coming to the Doctor of Chiropractic gives the doctor permission and authority to care for the patient in accordance with chiropractic tests, diagnostics and analysis.

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Terms of Acceptance

When a patient seeks chiropractic health care and we accept a patient for such care, it is essential for both to be working towards the same objective.

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Free AdobeReader®

Each form is a PDF document file.  If you do not already have AdobeReader® installed on your computer, click the Adobe® image to download for free.



Dr. Adam Zuckerman, 8280 Jog Road, Boynton Beach, FL (561) 752-4646
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Dr. Adam Asks some important questions of interest to Boynton Beach residents - Chiropractor Boynton Beach Dr. Adam Asks...

Where do most Boynton Beach residents get their first subluxation?
Being born in a hospital is a common source of subluxation. Trauma from forceps delivery has been replaced with drugs, vacuum extraction, Cesarean section and births that are "scheduled" to fit the workweek routines of Ob-Gyns. That's why we recommend a chiropractic checkup for every Boynton Beach newborn.
What's the difference between a "good" drug and a "bad" drug?
As a chiropractor, I see the use of many drugs (legal or illegal) as merely symptom treating. Worse, virtually every drug produces unwanted effects. The effects of chiropractic are largely positive effects. If you're a Boynton Beach parent, consider carefully before giving your child a cough medication, cold remedy or pain reliever so this sort of question doesn't arise in the first place.