​​Welcome To Our Office For Chiropractic Care


The doctors of DiSalvatore Chiropractic are committed to serving those people who desire conservative chiropractic care and treatment for their health care needs.  This commitment begins with collecting enough information from the patient about their condition to arrive at a logical diagnosis.  Without a logical diagnosis, treatment options are less effective.  This waste both time and money.
The following forms will provide us with much of the information that will help us help you.  Some forms are long and many questions as first may seem irrelevant:  however, each question may lead us closer to pinpointing your exact problem and/or aggravation of your complaint.

  

To fill out your new patient paperwork, please complete one of the 2 options below:


1.  Please click on the link below to complete your new patient paperwork online.

https://intake.mychirotouch.com/?clinic=DC0116


2.  If you do not wish to fill out your new patient paperwork online, CLICK the "New Patient Paperwork"  button below to print out forms, fill out at home and bring with you to your appointment.




HIPAA Privacy Rule
Consent to Treat a MinorPlease fill out ONLY if patient is under 18 years of age.

 

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