Here at Village Chiropractic Health Center, we value our patients. We acknowledge that going to a new place for the first time can be nerve racking. We want to do everything we can to eliminate any unnecessary stressors, which is why we include the option of printing and completing your forms at home. We think of our patients as part of our extended family, and we are excited to meet you!

If you have any questions regarding your first visit, please don’t hesitate to call us at (954) 983-1001.

Online Forms

Accident Questionnaire Forms

Intersection Form

Privacy Policy

The HIPAA Privacy Rule creates national standards to protect individuals’ medical records and other personal health information. It gives patients more control over their health information. It sets boundaries on the use and release of health records.

Therefore, we strictly enforce patient confidentiality and HIPAA guidelines to protect and preserve patients sensitive information.


*Most Major Medical Insurance Accepted. *All PPO Plans Accepted. *All PIP Auto Insurance Accepted. *In Network Providers for UMR, Coventry and many others.

Call us today and our staff will verify your insurance for Chiropractic care to see what is covered. You will be pleasantly surprised to see most insurances cover Chiropractic visits.

Additionally, we offer discount family and individual plans for those without personal insurance coverage.

Call Today! 954-983-1001