Appointment Request

Please view our office hours and then fill in the following form to request an appointment.
You will receive a confirmation call to verify, before any appointment is scheduled.

First Name

Last Name

Phone Number

Email Address

Date and Hour for Requested Appointment (Please check our office hours)

Month

Day

Year

Select Hour

AM / PM

Please tell us if you are a current patient, or are requesting to become a new patient.

I am a current patient at your office
I am looking to make an appointment to become a new patient

Optional Short Comments or Message

NOTE: You do not have a scheduled appointment until we can call you and verify this appointment request.

Please do not submit any Protected Health Information (PHI)

Contact Information

Chiropractic Plus
135 Professional Dr., Suite 105
Ponte Vedra, FL 32082
904-280-1101
info@chirojax.com
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Chiropractic +
11512 Lake Mead Ave. Suite 203
Jacksonville, FL 32256
904-565-1116
info@chirojax.com
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Office Hours

Monday
Gate Parkway / 295: 8:45 AM -12:45 PM & 2 - 6 PM Ponte Vedra: 8:45 AM - 12:15 PM & 2 - 6:30 PM
Tuesday
Gate Parkway / 295: by appointment Ponte Vedra: 8:45 AM - 12:30 PM / 2- 5:30 PM
Wednesday
Gate Parkway / 295: 9:30 AM - 12:30 PM / 2- 6:30 PM Ponte Vedra: 8:45 AM - 12:15 PM / 2- 6:30 PM
Thursday
Gate Parkway / 295: 8:30 AM - 12:30 PM / 2- 6:30 PM Ponte Vedra: 8:45 AM - 12:30 PM / 2 -6:15 PM
Friday
Gate Parkway / 295: 8:45 AM- 1 PM Ponte Vedra: 8:30 AM - 12:30 PM / 2 - 6:00 PM
Saturday
Gate Parkway / 295: 8:30 AM - 12:30 PM (Doctor's hours with massage) & 1 - 5 PM massage Ponte Vedra: Massage: By appointment

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