The New York Chiropractor to see - Chiropractor New York

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



HIPAA

 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.

Call now to schedule an appointment!



Dr. John Belmonte, 211 East 53 Street, New York, NY | (212) 980-4211
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Dr. John Asks some important questions of interest to New York residents - Chiropractor New York Dr. John Asks...

What's the difference between sick care and health care?
Sick care is largely about relieving or suppressing symptoms. Health care is about improving performance. While sick care is about how you feel, health care is about how you function. Sick care is what you do to treat an obvious problem, and health care is what you do to avoid the problem and advance your well-being.
What's the difference between a "good" drug and a "bad" drug?
As a chiropractor, I see the use of many drugs (legal or illegal) as merely symptom treating. Worse, virtually every drug produces unwanted effects. The effects of chiropractic are largely positive effects. If you're a New York parent, consider carefully before giving your child a cough medication, cold remedy or pain reliever so this sort of question doesn't arise in the first place.

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