New Patient Forms

Hello.  I'm Carrie Norton, Office Manager/Chiro­practic Assistant, at Plantation Spine & Sports Rehab.  I  look forward to meeting you at your upcoming appointment.  Plantation Spine & Sports Rehab offers our patient form(s) online so you can complete it in the convenience of your own home or 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, if you prefer,  bring it with you to your appointment.
      Our fax number is 954-577-4447.

Auto Accident and Personal Injury ­ ­
(Please be sure to download and print form parts 1 and 2)

Download & Print Form part 1

Download & Print Form part 2­

Health Insurance
(Please be sure to download and print form parts 1 and 2)

Download & Print Form part 1

Download & Print Form part 2

Self Pay Patients

Download & Print Form

Workers Comp

Email Privacy Policy Form

Member Wellness Registration Form

This form can be filled out to register for access to the member wellness section of our website. You can also sign up for our monthly newsletter to keep up on current health issues and news and events in our office. You can print it out and bring it in to our office or Click Here to register online! The online newsletter sign-up is also on the right. We look forward to making your experience with our office and website more interactive and rewarding!