Hello. I'm Carrie Norton, Office Manager/Chiropractic Assistant, at Plantation Medical Rehab & Wellness. I look forward to meeting you at your upcoming appointment. Plantation Medical Rehab & Wellness offers our patient form(s) online so you can complete 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, if you prefer, bring it with you to your appointment.
Our fax number is 954-577-4447.
Auto Accident and Personal Injury
(Please be sure to download and print form parts 1 and 2)
Health Insurance
(Please be sure to download and print form parts 1 and 2)
Self Pay Patients
Workers Comp
Email Privacy Policy Form
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