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Pensacola Physical Medicine, Inc. 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 Smith Chiropractic (non-accident)

Download & Print Form


New Patient Pensacola Physical Medicine ( Auto Accident )

Download & Print Form


 Medical Weight Form

Download & Print Form



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