(954) 432-9555

For information or an appointment

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Chiropractic

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First Visit

“Ask a Chiropractor about your pain, symptoms, or how we can help”

First Visit

New Patient Form 2

New Patient Form 1

Graston Questionnaire/Informed Consent

New Patient Form 3

Stirling Spinal Health & Wellness, 9710 Stirling Rd. #112, Cooper City, Fl. 33024
Tel: (954) 4329555, Fax: (954) 3927711
DrJWilner@Gmail.com

WebMaster: Dr. Jarrod S. Wilner

When you first enter our clinic you will immediately be greeted with a smile by our terrific staff. They will share some of the office policies with you and ask you to complete the new patient forms. Or you can print them out from the links below and complete them before you arrive. Once the staff has the completed forms, Dr. Wilner will escort you to the Exam/Consultation room to evaluate your condition.

New Patient Forms: Print and Complete all Four