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Kirschner Chiropractic & Wellness Centre 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 bring it with you to your appointment.

New Patient Health History Form - Required

This let's 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 and Print Forms Now!

New Auto- Accident Patients

New Massage Patients


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!

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Menu of Body Services


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Special Offer! Click Here for Details!

Sign-up using the form or call us at 941-766-7110 to take advantage of our special offers!

Kirschner Chiropractic & Wellness Centre

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Office Hours

DayMorningAfternoon
Monday8:30am5:00pm
Tuesday8:30am5:00pm
Wednesday8:30am5:00pm
Thursday8:30am5:00pm
Friday8:30am2:00pm
SaturdayClosedClosed
SundayClosedClosed
Day Morning Afternoon
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
8:30am 8:30am 8:30am 8:30am 8:30am Closed Closed
5:00pm 5:00pm 5:00pm 5:00pm 2:00pm Closed Closed

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The experience as a whole is wonderful the moment you walk in the door. The smells of a day spa, the sound of a water fall, and a visually relaxing decor with a friendly staff greet you. The many options for physical wellness and mental well being are available here and I am still discovering more with every visit. Dr. Dan Kirschner is compassionate, thorough, and my favorite quality...he thinks out of the box and uses every tool available that might be helpful in your recovery. I would highly, and I do recommend Kirschner Chiropractic & Wellness Center!

Denise
Port Charlotte, FL

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