Long Island Chiropractic & Physical Therapy


Online Forms

We offer patient forms online so you can complete them in the convenience of your own home or office. Fax us your printed and completed forms or you may bring them during your visit.

Patient Health History Form – Required – Download & Print Form

Patient Information and Authorization Form – Download & Print Form

Neck Index – Download & Print Form

Back Index – Download & Print Form

No-Fault Form – Download & Print Form

If you do not have AdobeReader® installed on your computer, Click Here To Download.

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