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I Am Now A Believer In Chiropractic Care As My Tendonitis Is Cured
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New Patient Forms

  

For your convenience we have the Pre-Admission Forms here online. Make sure you pick the correct packet of paperwork. The packets are divided amongst chiropractic and nutrition/weight loss.

When you fill out the paperwork please make sure that you put each individual complaint in a separate section (primary complaint, secondary complaint and additional complaint). Also make sure that you fill out the paperwork completely because all information is necessary to best assess your condition. 

 

Chiropractic

New Patient: Workers Comp
If you are a new patient with a work related injury, please download this patient packet.
Click here.

New Patient: Auto Accident

New Patient: Auto Accident
If your injury is due to an auto accident, please download this patient packet
Click here.

New Patient: Child

New Patient: Pediatric (3 and Under)
For patients who are under the age of 3 use this patient packet.
Click here.

New Patients

Regular New Patient
If you are not in the above categories please download our standard new patient packet
Click here.

 

Nutritional / Weight Loss
 

   

New Patient: Nutritional Consultation
For patients who scheduled an appointment for nutritional or weight loss counseling.
Click Here

If your doctor has requested you complete a comprehensive health appraisal, Click Here.

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Upcoming Free Events

Wellness Workshop
Wellness Workshop Chronic Fatigue & Stress Relief Thursday, March 18th, 6:30 p.m. 600 Main Street, Lower Level (within Muscles, Inc.) Stroudsburg, PA 18360
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Health & Energy Orientation
March 16
6:30PM to 7:30PM
Stroudsburg, PA
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Alkalinity vs. Acidity
March 18
6:30PM to 7:30PM
Stroudsburg-Main St, PA
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Health & Energy Orientation
March 24
6:30PM to 7:30PM
East Stroudsburg, PA
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Health & Energy Orientation
March 30
6:30PM to 7:30PM
Stroudsburg, PA
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