Mobile Chiropractic offers our patient forms online so they may be completed in the convenience of your own home or office, thereby decreasing the amount of time spent in the Chiropractic office upon your first visit.

• If you do not already have AdobeReader® installed on your computer, Click Here to download.
• Download the necessary forms. Print them out and fill in the required information.
• Fax us your printed and completed forms or bring them with you to your appointment.

Patient Information Form: Dr. Solomon - Miami Dade County

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

Patient Information Form: Dr. Dorfman - Palm Beach County

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.

Mobile Chiropractic Survey

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 located on the right side of our homepage. We look forward to making your experience with our office and website more interactive and rewarding.