Switch to Main Site
Practice Name

Back In Harmony Chiropractic and Wellness Center

Social Media
Primary Location
6115 Stirling Rd, Suite 205
Davie, FL 33314
Phone: 954-604-5384
Fax: 954-440-2471

Office Hours

DayMorningAfternoon
Monday8am -12pmClosed
Tuesday9am -1pm3pm - 6:30pm
WednesdayClosed3pm - 6:30pm
Thursday9am -1pm3pm - 6:30pm
FridayClosedClosed
Saturday9am -12pmClosed
SundayClosedClosed
Main Content

Back In Harmony Chiropractic and Wellness Center offers our patient form(s) online so they can be completed 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 bring it with you to your appointment.

Chiropractic - New Patient Registration Forms 

(Please print forms in color)

Download & Print Form 


Acupuncture - New Patient Registration Forms

(Please print forms in color)

Download & Print Form 


Personal Injury Registration Forms 

(Please print forms in color)

There are two sets of forms you will need to print. Please download and fill out these forms if you are seeking treatment in our office directly relating to your personal injury. 

Download & Print Forms Part 1

Download & Print Forms Part 2


Member Wellness Registration Form - Optional

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!

Download & Print Form



Download the Free AdobeReader®

Like us on Facebook!

 
Launch
 3D Spine Simulator

Online Forms

Get prepared early. Our new patient paperwork is also available online for completion in the convenience of your own home or office.
Read More

Our Services

We strive to provide complete care for our patients. Learn more about all the services we provide.

Read More

Request Appointment

We will do our best to accommodate your busy schedule. Schedule an appointment today!

Schedule Now

Contact

Back In Harmony Chiropractic and Wellness Center
6115 Stirling Rd, Suite 205
Davie, FL 33314
Get Directions
 
  • Phone: 954-604-5384
  • Fax: 954-440-2471
  • Email Us
From:  To:  Get Directions
Driving Directions: Reverse Directions Print Directions

Office Hours

DayMorningAfternoon
Monday8am -12pmClosed
Tuesday9am -1pm3pm - 6:30pm
WednesdayClosed3pm - 6:30pm
Thursday9am -1pm3pm - 6:30pm
FridayClosedClosed
Saturday9am -12pmClosed
SundayClosedClosed
Newsletter

Newsletter Sign Up










Community Content
Member Wellness