111 N. Fiske Blvd.

Cocoa, FL 32922 US

(321) 636-6090

Online Forms

Cocoa Chiropractic 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) or bring it with you to your appointment.

New Patient Forms

Please print and fill out the following forms and bring them with you on your initial visit.

Download & Print Form



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Office Hours

Our Regular Schedule

Monday:

8:00 am-6:00 pm

Tuesday:

8:00 am-12:00 pm

Wednesday:

8:00 am-6:00 pm

Thursday:

8:00 am-12:00 pm

Friday:

8:00 am-6:00 pm

Saturday:

Closed

Sunday:

Closed

Locations

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Testimonials

Reviews By Our Satisfied Patients

  • "Dr. Lombardi took me from not being able to get out of bed to back to running and working out. 100% recovery after ~6 sessions."

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