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Online Forms

Goldberg Wellness & Acupuncture Center 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 Health History Form - Required

This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

Download & Print Form



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Our Location

10887 N Military Trail Suite 4 | Palm Beach Gardens, FL 33410

Office Hours

Find Out When We Are Open

Monday:

9:00 AM-6:00 PM

Tuesday:

10:00 AM-1:00 PM

Wednesday:

9:00 AM-6:00 PM

Thursday:

Closed

Friday:

9:00 AM-6:00 PM

Saturday:

By Appointment

Sunday:

Closed