Schedule Appointment

If you are a new patient, please print and fill out the new patient intake form below (Please make sure to complete both pages):

New Patient Form Page 1
New Patient Form Page 2

If you are visiting us as a result of personal injury, please print and fill out the following form (please make sure to complete both pages):

Personal Injury Form Page 1
Personal Injury Form Page 2

The fastest and easiest way to schedule your appointment with the doctor is to contact our Titusville Florida office at (321) 268-1999.

One of our staff members will promptly schedule you with a convenient time to see the doctor. For your convenience we also have an office map and directions available for you to print out.

Please don't delay as the majority of health conditions tend to worsen or recur without the appropriate care.

Sincerely,

Dr. Richard Wurzler, D.C.
Chiropractor