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Becoming a ‘Least Vulnerable’ Person™️ eBook
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(321) 636-5200
info@fogartychiropractic.net
839 Barton Boulevard Rockledge, Florida 32955
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FOGARTY CHIROPRACTIC LIFE CLINIC
100 YEAR LIFESTYLE CHIROPRACTOR IN Rockledge, Florida 32955
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Home
About Us
Our Team
Our Health Philosophy
Conditions We Treat
Whiplash Injuries/ Car Accidents
Sports Chiropractic Medicine
Neck Pain
Back Pain
Scoliosis
Headaches
Pediatric Chiropractic
Pregnancy and Prenatal Care
Carpel Tunnel
Services
Chiropractic
Family Chiropractic
Pediatric Chiropractic
Sports Chiropractic
Decompression Therapy
Neuromuscular/Massage Therapy
Patient Hub
Request an Appointment
Patient Forms
Pricing
Reviews
FAQ
Becoming a ‘Least Vulnerable’ Person™️ eBook
Exciting Neuroscience Breakthroughs for All™️ eBook
Educational Graphics
Products
Links
Health Articles
Doctor’s Blog
Videos
Contact Us
Events
100 year lifestyle
100 Year Podcast
Menu
Home
About Us
Our Team
Our Health Philosophy
Conditions We Treat
Whiplash Injuries/ Car Accidents
Sports Chiropractic Medicine
Neck Pain
Back Pain
Scoliosis
Headaches
Pediatric Chiropractic
Pregnancy and Prenatal Care
Carpel Tunnel
Services
Chiropractic
Family Chiropractic
Pediatric Chiropractic
Sports Chiropractic
Decompression Therapy
Neuromuscular/Massage Therapy
Patient Hub
Request an Appointment
Patient Forms
Pricing
Reviews
FAQ
Becoming a ‘Least Vulnerable’ Person™️ eBook
Exciting Neuroscience Breakthroughs for All™️ eBook
Educational Graphics
Products
Links
Health Articles
Doctor’s Blog
Videos
Contact Us
Events
100 year lifestyle
100 Year Podcast
Patient Forms
For All New Patients:
New Patient Information Form
Doctor-Patient Relationship Form
Electronic Health Records Form
Informed Consent
Financial Responsibility
** Click Here to Download All New Patient Forms **
For Auto Accident Patients:
Automobile Accident History Form
Auto Accident Disclosure Form
Assignment of Benefits
Letter of Protection
Third-Party Billing
**Click Here to Download ALL the Auto Accident Forms**
For Medicare Patients:
Advanced Beneficiary Notice (ABN)
Medicare Explanation Form
Neck Questionnaire
Back Questionnaire
**Click Here to Download ALL the Medicare Patient Forms**
For Medicare Patients:
Medicaid Explanation Form
Patient Authorization Form
**Click Here to Download ALL the Medicaid Patient Forms**
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