Online Paperwork

We offer our paperwork on line so you can complete it in the convenience of your own home. Here are the essential forms we use and why we need them.


New Patient Intake Form

This lets us know what’s happened and where you're hurting.

 Download & Print Form


X-Ray Release Form - Women Only

Women: please consider completing this form before you arrive just in case the doctor determines that x-rays are necessary.  All women who have x-rays taken in this office must complete the attached form.

 Download & Print Form


Free AdobeReader®

Each form is a PDF document file.  If you do not already have AdobeReader® installed on your computer, click the Adobe® image to download for free.

Dr. John  Asks some important questions of interest to New York residents - Chiropractor New York Dr. John Asks...

Why does chiropractic work?
Chiropractic works because your nervous system, consisting of your brain, spinal cord and all the nerves of your body, controls and regulates every cell, tissue, organ and system of your body. A chiropractor locates and reduces areas of nervous system compromise (usually along the spine) so your capacity to heal is restored. Chiropractic works by helping your body work as it was designed.
Where do most New York residents get their first vertebral subluxation?
Being born in a hospital is a common source of vertebral subluxation. Trauma from forceps delivery has been replaced with drugs, vacuum extraction, Cesarean section and births that are "scheduled" to fit the workweek routines of Ob-Gyns. That's why we recommend a chiropractic checkup for every New York newborn.

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