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Long Island Chiropractic Concepts offers our patient some forms online so they can be completed in the convenience of your own home or office, before you even arrive to our chiropractic office. We will be happy to fax it if that is easier for you - just call the office.

  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print it out and fill in all of the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.

New Patient Health History Form - Required -

Bring in your readers if you need them. (We do have some spares)

This information helps us understand your history and the current state of your health. It is important to be complete. Most people take the time to fill it out in the office. If you have any questions or concerns write them down so you do not forget. Your health history, your current problems and your wellness goals will be reviewed. Any concerns - just let us know.

Download & Print Form


Member Wellness Registration Form - Optional

This form can be filled out to register for access to the member wellness section of our website. You can also sign up for our monthly newsletter to keep up on current health issues and news and events in our chiropractic office. You can print the form out and bring it in to our office during your next visit with our chiropractor, or Click Here to register online! The online newsletter sign-up is also on the right. We look forward to making your experience with our office and website more interactive and rewarding!

Download & Print Form



Download the Free AdobeReader®