New Patients

Auto ​​Accident Patients

New Patient Questionnaire
New Patient Questionnaire
Consent to Treat Form
Consent to Treat Form
HIPAA Disclosure
PIP No-Fault Application
Office Policy
Standard Disclosure Form
HIPAA Disclosure

Fee Schedule​

  1. New Patient Exam
    Minimal symptoms requiring no more than 10-15 minutes
  2. New Patient Exam
    Moderate symptoms requiring no more than 30-minuutes
  3. Spinal Manipulation
    Adjustment to 1-2 regions of the spine, following reassessment.
  4. Massage Therapy
    Minimum of 1/2 hour, ($45.00). 1 hour, (4 units) $75.00
  5. Physical Therapy Modalities (Fees range from $10-$30 each)
    1 unit of EMS, ultrasound, traction, Ice/heat, rehab or other
  6. Cryoderm Topical Analgesic
    Topical pain reliever in gel, roll-on or spray bottle.


Dr. Bennett's Professional License
Local Business License
License look-up (Verify any Florida Doctor's License)