Bukaty Family Chiropractic

(239)-770-1133

Bukaty Family Chiropractic

(239)-770-1133

Bukaty Family Chiropractic

Dr. Christina Bukaty, DC

Patient Paperwork

Please fill out the necessary paperwork prior to your visit!

Informed Consent To Chiropractic Treatment
Informed-Consent-To-Chiropractic-Treatment.pdf

New Patient Intake
cb-new-patient-intake.pdf

Financial Policy
cb-financial-policy.pdf

HIPAA Consent
cb-hipaa-consent.pdf

HIPAA Notice
cb-hipaa-notice.pdf

CONTACT US

We hope to see you soon

Office Hours

Call or Text: 239-770-1133 for appointment

Monday  

by appointments only

Tuesday  

by appointments only

Wednesday  

by appointments only

Thursday  

by appointments only

Friday  

Closed

Saturday  

by appointments only

Sunday  

Closed

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Please do not submit any Protected Health Information (PHI).