80 Fortenberry Road

Merritt Island, FL 32952 US

321-453-1345

Online Forms

First Merritt Chiropractic 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.

New Patient Health History Form - Required

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



Download the Free AdobeReader®

Receive 15% OFF First Acupuncture Visit.

Office Hours

Our Regular Schedule

Monday:

8:00 am

6:00 pm

Tuesday:

8:00 am

6:00 pm

Wednesday:

8:00 am

6:00 pm

Thursday:

8:00 am

6:00 pm

Friday:

8:00 am

6:00 pm

Saturday:

Closed

Sunday:

Closed

Location

Find us on the map

Testimonial

Reviews By Our Satisfied Patients

  • "After my stroke I was very confused and sad. I also had a lot of shoulder pain. Now I feel much better. I am much more optimistic and I can see the improvements. The pain has improved 100%! Now my only frustration is dealing with the limited mobility."
    Nicole H., 2010

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