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Call Us Today

(813) 933-1511
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Exclusive Offer

Exclusive Offer, New Patients Book Now and Receive a Free Consultation.

American Spinal Center offers our patient forms online so they can be completed in the convenience of your own home or office, before you even arrive to our chiropractic 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) to 813-931-8393 or bring it with you to your appointment.

New Patient Forms - Required

Our new patient forms give us specific information about you and the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

Download & Print Forms


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 chiropractic office. You can print the form out and bring it in to our office during your next visit with our chiropractor, 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!

Download & Print Form



Download the Free AdobeReader®

Featured Services

Our Mission
Our goal is to eliminate pain in your body, by treating the root causes of pain, healing you from the inside out.
Wellness Services
American Spinal Center treats the entire body to attack the root causes of pain and discomfort.
Chiropractic Services
We offer both conventional chiropractic care as well as the state of the art Sigma Pro-Adjuster system.