Online Forms

We offer our paperwork on line so you can complete it in the convenience of your own home. 



Health History

This let’s us know what’s happened, but perhaps more important, where do you want to take your health?

  Download & Print Form



Automobile Accident

If your health issue is the result of a car accident, we need some additional information.

  Download & Print Form



Worker’s Compensation

If your health issue is the effect of an injury at work, this information will help us help you.

  Download & Print Form



Free AdobeReader®

Each form is a PDF document file.  If you do not already have AdobeReader® installed on your computer, click the Adobe® image to download for free.




Dr. Michelle Zielecki and Dr. Stephen Boyles| Phone: (352) 205-8500
11834 County Road 101, Suite 202, The Villages, FL

Subscribe to our The Villages chiropractic newsletter Free Newsletter

Receive free professional health tips on topics that interest you.
 
 
Select Topics:
Backaches & Sciatica
Headaches & Neck Pain
Wellness Topics
Diet & Nutrition
Exercise & Fitness
Women's Health Issues
Children's Health Issues
Stress Management

The Doctor Asks some important questions of interest to The Villages residents - Chiropractor The Villages The Doctor Asks...

Could a chiropractor put an end to bedwetting?
If bladder control seems elusive, consider chiropractic. If spinal bones are interfering with nerves that control your child's bladder, plastic sheets, alarms and other methods simply add to the embarrassment. The Villages parents are often amazed (and relieved) that chiropractic can be so helpful. Learn more.
What's the difference between a "good" drug and a "bad" drug?
As a chiropractor, I see the use of many drugs (legal or illegal) as merely symptom treating. Worse, virtually every drug produces unwanted effects. The effects of chiropractic are largely positive effects. If you're a The Villages parent, consider carefully before giving your child a cough medication, cold remedy or pain reliever so this sort of question doesn't arise in the first place.