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Report Your Accident

To better serve you, please share with us all details related to your most recent auto accident. This is a 5 part questionnaire that should take no more than a few minutes to complete. Please allow a few seconds for the form to load & activate as you navigate through each section before inputting your information in the data fields.

Did You Know? Florida Statute requires evaluation by a physician within 14 days to access your benefits.

Treating Patients in the Fort Myers, Cape Coral & Surrounding Areas Since 2003
With Musculoskeletal Conditions & Other Conditions Requiring Chiropractic Care