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Handt Family Chiropractic

100 Year Lifestyle Chiropractor in New City NY
Phone: 845-263-3033
Make Your Health a Priority!

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Patient Forms

We offer our patients form(s) online so you can complete it in the convenience of your own home or office.

Click the link New Patient Online Form below, fill out the form completely and leave no blanks, digitally sign and click submit. Forms will automatically be sent to us and uploaded in our software. (Scroll to the bottom of the forms page to be sure that you can sign forms digitally from your computer. If not, you will not be able to complete the process online and will need to complete the forms in the office)

New Patient Online Form

Medicare Supplemental Forms

These forms are to be printed, filled out and brought in.

Supplemental Forms to Print

After you have finished the online case history (filled everything out completely) and have signed it electronically; these are the supplemental forms that have to be filled out the old fashioned way. Print them up and bring them in with you. Thank you and see you soon.

Pediatric Forms

If you are a child and are starting care, these are the forms you need to fill out and bring in! See you soon