Online Forms

Sievert Chiropractic Clinic offers our patient forms online so they can be completed in the convenience of your own home or office, before you even arrive to our chiropractic 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 Forms

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!

Download & Print Form



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Office Hours

Our Regular Schedule

Monday:

8:00 am - 12:00 pm

2:00 pm - 6:00 pm

Tuesday:

8:00 am - 12:00 pm

Wednesday:

8:00 am - 12:00 pm

2:00 pm - 6:00 pm

Thursday:

Closed

2:00 pm - 6:00 pm

Friday:

8:00 am - 12:00 pm

Closed

Saturday:

By Appt.

Closed

Sunday:

Closed

Closed

Locations

Find us on the map

Testimonials

Reviews By Our Satisfied Patients

  • "Amazing! Helped clear up my TMJ and C1 and C2!!"
    Dyan Huey Thompson
  • "Amazing staff and caring doctor. Would recommend highly."
    Laura Spurlock Griffin
  • "Dr. Tom Sievert is the BEST chiropractor I've ever experienced (and I've been to tons and tons!) One adjustment = pain gone! Seriously, the best!"
    Katie Lutsovich Walters
  • "The staff here is very attentive to your needs, I feel welcome every time, I feel like they actually listen and address my problem areas. Love love love this place, I highly recommend sievert clinic"
    Colleen Rylee
  • "Dr Sievert and his staff are wonderful. They've helped me recover from pulled muscles and injuries much faster than any MD I've seen."
    David Lambros
  • "Dr. S is great and has the best staff!"
    Michelle Tomsett
  • "I went to him over 20 years ago when he was behind the old Long John Silver's. Off Cleveland Ave. And he was AWESOME then. I'm sure he's even better now."
    Jeannie Jurgsatis
  • "I felt so much better when I was in Ft. Myers and able to see Dr. Sievert. Looking forward to going back next winter."
    Mona Willour Newcomer
  • "The best Chiropractic clinic possible. Great wonderful staff, amazing service and above all real results. Dr. Sievert and his staff know well what they are doing and treat all patients like royalty."
    Mauricio A. Salazar Fort Myers, FL

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