SCHEDULE APPOINTMENT

          



This form will be sent directly to Dr. Brian Drutman.



In most instances, Dr. Brian Drutman will personally respond back to you within 24 hours.

If you have been injured in a car accident, work accident,  slip and fall accident, sports accident or from some unknown cause, please fill out the following and press "Submit" to send the form to Dr. Brian Drutman


First Name
Last Name
Street Address
City / State / Zip
Home Phone Number
Work Phone Number
E-mail Address

Date of Injury:

Write in as much detail as possible how you have been injured:
Include the type of injury (car accident, work injury, sports
injury, slip and fall, or other), the areas of your body where
you have pain, any doctors that you have seen for your injury,
diagnostic imaging results (Xrays, MRI's, CT scans), etc.

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 Dr. Brian Drutman,  a Tampa Bay chiropractor, treats patients injured from car accidents, sports injuries, work injuries, falls or from other unknown causes. Patients are also seen for maintenance care to prevent injury.

Dr. Brian Drutman, Tampa chiropractor 1910 West Busch Boulevard Tampa, Florida 1-877-430-7246