non surgical treatment
lumbar disc decompression
Auto Accidents
Weston chiropractic center
chiropractic services

Downloadable Forms

Downloadable Forms

When you come into the Windmill Health Center, we want you to relax. Therefore, if it’s more convenient for you, feel free to fill out our forms in the convenience of your home or office in advance.

  • 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 Entrance & Health History Forms – 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 New Patient Entrance Form
Download & Print Health History Form

Assignment of Benefits Form – Required

This allows us to determine your insurance benefits.

Download & Print Assignment of Benefits Form

Auto Accident Form – Only If You Were Involved In An Auto Accident

If you have been involved in an auto accident, please complete this form so we can determine benefits and collect from the appropriate parties.

Download & Print New Auto Accidents Form



Windmill Chiropractic


17160 Royal Palm Blvd.
Suite 1
Weston, Florida 33326


(954) 217-4881


(954) 217-4991


Follow Us

  • Follow Windmill Health Center on Twitter
  • Join Windmill Health Center on Facebook
  • Subscribe to Windmill Health Center's Chiropractic Videos on Youtube
  • Locate Windmill Health Center on Google Maps

Contact Us