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Online Forms

Splitrock Chiropractic Center offers our patient form(s) online so they can be completed 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 bring it with you to your appointment.

New Patient Health History Form - 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!

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Location

Click the map to view the location nearest to you

Office Hours

Our regular schedule
Brandon Office
Monday:
07:00 am - 06:00 pm
Tuesday:
Closed
Wednesday:
07:00 am - 06:00 pm
Thursday:
07:00 am - 06:00 pm
Friday:
07:00 am - 11:00 am
Saturday:
Closed
Sunday:
Closed
Testimonials
Reviews By Our Satisfied Clients
"I have seen many chiropractors in the last 10 years for my headaches, but since being referred to Dr. Ben, and being adjusted with the Pro Adjuster I have not had a headache or migraine since, thank you Dr. Ben."
-Barb B.
"I never liked going to my old chiropractor, but I liked the results. Now with the Pro Adjuster I love seeing my chiropractor, and the results have been great, I even brought my 78 year-old mom and she loves it too."
-Amber S.

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