Got Your Back Patient Intake

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    Date of Birth
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  • Monthly/Annual Income
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  • Social Habits (Alcohol, Tobacco, Caffeine etc.)
  • Past Medical History (Fall, Accident, etc.)
  • Setback/Reason for Seeking Care Grant
  • Medical Conditions? If so, what?
  • Ever received Chiropractic treatment? When?
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  • • Include your last two paystubs, proof of employment or proof of Student Status (ID, proof of enrollment, etc.)
  • Last two paystubs
  • Proof of employment or proof of Student Status (ID, proof of enrollment, etc.)
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About Us

Got Your Back Inc. is our nonprofit organization designed to provide Chiropractic Care to the under-insured, financially hard-shipped population throughout the greater Tampa Bay area. We are offering limited free spinal adjustments to those who qualify by appointment only.

Free Chiropractic Adjustments
By Appointment Only


Frequent migraines? Back Pain? Chronic pain in muscles and joints? It’s time to see a chiropractor. Chiropractic adjustments can help your body get back on track and improve its overall physical function. Can’t afford a chiropractor? Call now to see if you qualify for a free adjustment.

Our Mission

GYB is a community serving corporation, welcoming people from every culture who seek holistic health-care alternatives or accessible preventive medicine. Our mission as a non-profit organization is to extend, reach, and help communities with low-income or limited resources to have the ability of benefiting from wellness programs and medical management. We provide chiropractic care, soft tissue modalities, and diversified massages, all of those targeted specifically to the chief complaint presented by the person under care. We passionately believe on the idea of serving and delivering reasonable care to our community not just as primary care physicians, but as leaders to further educate the public on how to maintain and live an optimal life.

We don’t just focus on treatment, we focus on prevention. In our office, we will educate you on best practices such as correct posture throughout your day and what stretches you can incorporate in your daily routine to alleviate pain and aches.

When considering your health, we look at both short-term and long-term goals. Short-term goals typically include reducing pain and restoring normal joint function and muscle balance. Long-term goals include restoring functional independence and tolerance to normal activities of daily living.

Our Vision

GYB’s vision is to be an accessible non-profit organization nationally, and even globally. Helping others and providing holistic health-care is what inspires us as chiropractors/medical providers to chose this vocation in the first place. With dedication and commitment, we will thrive by influencing low income/low resourced communities’s well-being. We will accomplish this by creating a space where they can receive, look, and pursue reasonable wellness and a healthy lifestyle. GYB will collaborate, network, and work alongside like-minded organizations that are willing to extend their hand to society. We believe that we are here, on Earth, to make a difference and make a stance for everyone in an equal manner. We believe that we can make a significant contribution by just extending our hands. We got your back!


Household income is used to determine eligibility for the program.

Students are also eligible!

Household Size Household Income
1 Person $18,735
2 People $25,365
3 People $31,995
4 People $38,625
5 People $45,255
6 People $51,885


Make a donation via PayPal!

Have questions? Looking to get involved?