New Patients

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Welcome to Dr. Jason B. Kaster’s Chiropractic Clinic!

You may schedule an appointment at our Fort Myers office by calling 239-332-2555 or by emailing on the Contact Us page. Your first appointment will consist of your new patient consultation, health history and first treatment. Please allow up to 90 minutes for this visit.

Please print and complete the New Patient Forms before you arrive for your first visit. Alternatively you may fill out your forms in the office by arriving 15 minutes before your scheduled appointment time.

 

Required Forms for All Patients

Click the button to download five required forms for new patients: Patient Registration From, Health History Forms, Financial Responsibility Form & Informed Consent Form

Download and Print

Optional Forms

Please bring with you:

  • A copy of all recent labs and medical reports within the past year.
  • A list of all of the current medications you are currently taking including over-the-counter medications.
  • A list of all herbs, vitamins and nutritional supplements you are currently taking.

Additional guidelines for your first visit:

  • Wear comfortable loose fitting clothing if possible.
  • Please turn off cell phones prior to entering the office.

If you have any other questions about your first appointment, please feel free to contact us.

We look forward to meeting you!

Note: The forms are furnished in PDF format and require Adobe Acrobat, Acrobat Reader, or compatible application to view and/or print. The Acrobat Reader application is available to download for FREE.