Chiropractic 

Your first visit at Chiropractic Care of East Islip will include a consultation and examination.  When needed, x-rays are taken at local facilities accredited by the American College of Radiology, and read by board certified radiologists.  

Your first visit will take approximately 45 minutes; however, depending on the complexity of the case the time may vary.

 

To expedite this process, please print and fill out the appropriate forms.

 

NEW PATIENT PAPERWORK
2017 New Patient PATIENT PAPERWORK.pdf
Adobe Acrobat document [497.2 KB]
Empire Plan, United HC, Oxford members please fill out
Optum Health Patient Summary Form.pdf
Adobe Acrobat document [98.4 KB]
Empire Plan, United HC, Oxford members please fill out
Optum Health Back Form.pdf
Adobe Acrobat document [100.4 KB]
Empire Plan, United HC, Oxford members please fill out
Optum Health Neck Form.pdf
Adobe Acrobat document [75.0 KB]
Workers' Compensation - Hurt on the Job
WORKERS' COMP HISTORY FORM.pdf
Adobe Acrobat document [245.4 KB]
NF-2 Motor Vehicle Accident
NO FAULT FORM.pdf
Adobe Acrobat document [486.7 KB]
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© Chiropractic Care of East Islip -

177 E. Main Street, East Islip, NY 11730 Phone: 631 224-3036