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Online Forms

Marvin Family Chiropractic offers our patient form(s) online so they can be completed it in the convenience of your own home or office.

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

PLEASE CONTACT OUR OFFICE STAFF AT 845-735-4755 TO DETERMINE WHICH FORMS NEED TO BE FILLED OUT PRIOR TO COMING TO YOUR APPOINTMENT

New Patient forms - REQUIRED ONLY IF YOU MEET THE CRITERIA IN #1 OR #2

 THESE FORMS ARE ONLY FOR:

1- NEW PATIENTS(patients who have NEVER been to our office before)

2- PATIENTS WHO HAVE NOT BEEN IN THE OFFICE IN 3 YEARS (ASK OUR STAFF FOR THE LAST DATE YOU WERE IN..845-735-4755) 


Patients Must Also Fill Out a Neck and Back Index:



CURRENT Patient forms: REQUIRED ONLY IF YOU MEET THE CRITERIA IN #1

1- YOU'RE A CURRENT PATIENT WHO HAS BEEN TO THE OFFICE OVER LESS THAN 3 YEARS AGO(PLEASE CALL THE OFFICE TO CONFIRM WHEN YOU WERE LAST TREATED..845-735-4755)


CAR ACCIDENT FORMS: 

CLICK HERE TO DOWNLOAD CAR ACCIDENT FORMS


CONSENT TO TX A MINOR: 

If the patient is < 18 years old CONSENT TO TX is also needed



If you have more than 1 complaint, please view the form below:


Office Hours

Our Regular Schedule

Monday:

10:00 am-1:00 pm

3:00 pm-6:00 pm

Tuesday:

By Appt

By Appt

Wednesday:

10:00 am-1:00 pm

3:00 pm-7:00 pm

Thursday:

Closed

4:00 pm-6:30 pm

Friday:

10:00 am-1:00 pm

3:00 pm-6:00 pm

Saturday:

10:00 am-12:00 pm

Closed 1st Sat of the month

Sunday:

Closed

Location

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