We only ask for what we need to care for you and to get back to you. Here’s what our website forms collect, where it goes, and how to reach us with questions.
New-patient form (/new-patient-intake/): your name, date of birth, mobile number, email (optional), address, how you heard about us, what you’d like to be seen for and for how long, any prior chiropractic care, whether it’s related to an accident or injury, and your insurance or self-pay details. We also ask for a photo of your government ID, and of your insurance card if you’re using insurance.
Book, move, or cancel (/schedule/): your name, phone number, the last two digits of your birth year (so we can confirm it’s really you), what you’d like to do, the day and time you pick, and an optional note.
In-office check-in tablet: your phone number and your answers about how you’re feeling today, including the pain diagram. These go into your chart in our patient records system.
Two Palms Chiropractic & Wellness Text Messages is our text program. You will only get texts from us if you ask for them. You can say yes on our new-patient form by checking the optional box, or you can tell us yes on the phone when our office (including our automated phone receptionist) offers to text you something.
What we text: directions to our office, a link to our new-patient intake form, and, if you choose to receive them, appointment confirmations and reminders. We do not text medical advice, diagnoses, test results, or details about your health or treatment.
Frequency and cost: Message frequency varies. Msg & data rates may apply.
Opting out and help: To stop texts, reply STOP at any time. For help, reply HELP or call (941) 220-6993.
Your mobile number stays with us. We use it only to send the messages you asked for. Mobile information will not be shared with third parties or affiliates for marketing/promotional purposes. Text messaging originator opt-in data and consent will not be shared with any third parties. We only share it with the service providers who deliver our texts (such as our SMS platform), and only for that purpose. See our SMS Terms.
Our website host records basic, anonymous visit statistics, such as which pages are viewed. We don’t run ads on this site.
Information that becomes part of your care is kept with your chart in our records system. To request a copy of your medical records, we’ll ask you to sign a medical records release form — call us at (941) 220-6993. You can also call with any question about what we have on file, or to ask us to correct it.
Our forms aren’t watched around the clock. If you have a medical emergency, call 911. For anything urgent about your care, call us at (941) 220-6993 during office hours (Mon–Thu 9–6, closed 12–1 for lunch). The information on this website is general and isn’t medical advice — Dr. Moore evaluates you in person before recommending care.
Call (941) 220-6993 or stop by: Two Palms Chiropractic & Wellness, 5620 Tara Blvd, Suite 103, Bradenton, FL 34203.
Last updated October 27, 2026.