Southside Chiropractic & Car Injury Clinic
All fields are required
Type of Visit
Auto Accident Patient
Cash Patient
Decompression Patient
DOT Physicals
Health Insurance Patient
Massage Patient 60
Medicare Patient
MMI Slip/Fall Patient
New Auto Accident Patient
New Cash Patient
New Health Insurance Patient
New Massage Patient
New Medicare Patient
New Slip & Fall
New VA Patient
School Physicals
VA Patient
Workers Compensation
Video Visit
Office
Southside Chiropractic & Car Injury Clinic
Starke Office
Reason for Visit
e.g. Initial Consultation
Patient name
Firstname Lastname
Date of birth
mm/dd/yyyy
Email
email@example.com
Home phone
(555) 555-5555
Cell phone
(555) 555-5555
Requested time
Select a time below under Available Times
Office Address:
8825 Perimeter Park Blvd, Ste 102 Jacksonville FL 32216
8825 Perimeter Park Blvd, Ste 102 Jacksonville FL 32216
New and Existing patients can make appointments online.
Office Phone:
+1 904-497-0823
You must select a date and time for your appointment.
Available Times
Previous Week
Next Week
Visit Length:
10 minutes
Submit Appointment Request
You will receive an email confirmation.
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