​​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.


*PLEASE CLICK ON  THE LINK BELOW TO COMPLETE YOUR PAPERWORK ONLINE* 


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


OR   


CLICK "NEW PATIENT PAPERWORK" BELOW TO PRINT OUT FORMS, FILL OUT AND BRING WITH YOU TO YOUR APPOINTMENT

New Patient Paperwork  


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

 

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