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This site was last updated

09/13/11

 

New Patient Offer  |  Explanation of Fees  |  Download Forms  |  Testimonials

 

Forms for No-Fault & Personal Injury Patients

Please download and print all forms.  Complete them in ink, and bring them to our office on the day of your visit.  If you have any questions on these forms, please contact us.

Form # 1

Health Questionaire

Form # 2

Standard Waiver of Liability

Form # 3

Informed Consent

Form # 4

No Fault Accident Form

Form # 5

NYS Form NF-AOB

The forms are in adobe .pdf format and you will need the free Adobe Acrobat reader to open them.  If you need to install the reader, click the Adobe Acrobat link below for a safe, free download.

 

Our purpose is to educate and adjust families toward optimal health with natural chiropractic care.

 

 
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