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Pure Chiropractic & Natural Health - Neal Wieder, DC, DCBCN 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 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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Member Wellness Registration Form - Optional

 

This form can be filled out to register for access to the member wellness section of our website. You can also sign up for our monthly newsletter to keep up on current health issues and news and events in our chiropractic office. You can print the form out and bring it in to our office during your next visit with our chiropractor, or Click Here to register online! The online newsletter sign-up is also on the right. We look forward to making your experience with our office and website more interactive and rewarding!

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Sign up using the form below or call 407-682-4454 to make an appointment.

THIS ---->https://holisticwellnessnowcom.chiromatrixbase.com/online-forms.html

Office Hours

DayLake MaryOffice Hours
Monday10am-1pm3pm-7pm
Tuesday3pm-7pm
Wednesday10am-1pm3pm-7pm
ThursdayClosed
Friday10am-1pm3pm- 7pm
SaturdayBy Appointment
SundayClosed
Day Lake Mary Office Hours
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
10am-1pm 10am-1pm Closed 10am-1pm By Appointment Closed
3pm-7pm 3pm-7pm 3pm-7pm 3pm- 7pm

Testimonial

I was in a car accident and injured my neck and back. I could barely get through the day the pain was unbearable. Dr. Neal Wieder's treatment is different that other Chiropractors as he uses other treatments such as Quantum Laser Neurology, Mechanical Adjusting, Vibracussor and Upper Cervical Adjustments. I'm not at 100%, however, I can function great once again and I sleep through the night. Call his office today! Richard T.

I saw Dr. Neal Wieder five years after having sustained a devastating leg injury which left me with torn nerves that had to be surgically connected and resulted in what's called 'foot drop'. I was wearing a plastic splint on my injured foot and ankle for over five years and had to wear men's sandals as I couldn't wear women's shoes or sandals before seeing Dr. Neal Wieder.  I lost my job in the medical field and couldn't work.  As a single mother with one child, life was a struggle. The pain that remained in my leg was so severe that I couldn't let a bed sheet touch it as it felt like someone was scraping my leg with glass. A colleague referred me to see Dr. Wieder and it became a God send. After three months the searing pain was drastically reduced, after six months I was doing toe raises on the injured foot and a month later I wore for the first time in six years women's sandals and I threw the foot splint away. A year later I returned to the work force part-time. Dr. Wieder's unique methods of chiropractic, quantum laser neurology, acupuncture and nutrition helped me regain my life back. Give his office a call, he's a lifesaver!

Patty S.

I have been going to Dr. Neal Wieder for Chiropractic Care and Nutritional Consulting for over 20 years.  As a Martial Arts Instructor for over 30 years, even I need chiropractic care and nutritional support to help me keep up with my demanding personal and demanding physical schedule. My wife and daughter both are patient's of Pure Chiropractic & Natural Health, my wife for Acupuncture care by Dr. Sheila L. Scott and my daughter for Chiropractic and Acupuncture for sporting injuries. As a family we have been educated by Dr. Wieder and Dr Scott about the benefits of the care they offer and we can't imagine not making it a part of our lifestyle to stay healthy. I strongly recommend you give them a call today!

Jim M. 

Lake Mary
Lake Mary, FL

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