Welcome and Congratulations in taking positive steps towards better health!

Your time is valuable to us. To make your first visit as smooth as possible please print the following forms and fill them out prior to your visit. If you or anyone in your immediate family are feeling sick or have symptoms of a cold or flu please contact the office immediately to reschedule your appointment.

Thank you and we look forward to serving you.

Please fill out these 2 forms for Chiropractic and Acupuncture care:

Patient Notification of Privacy Rights HIPAA



Please fill out these additional forms for Acupuncture:

Acupuncture Consent Form

Acupuncture Pain Scales

Special Instructions for Massage Therapy Appointments

Please fill this form out for Massage Therapy and review our Massage Policy before your visit.

Massage Intake

Massage Policy

Please arrive at least 10 minutes prior to your appointment start time. This will allow you to go through the screening process when entering the office and begin your massage on time. As written in our massage policy, being late to your appointment will result in a time reduction in your massage.

We are scheduling extra time in between each session to allow for a full sanitation of the massage room for each client. New sheets and blanket will be provided for each new client. Every surface you may come in contact with will be new and sanitized so you can relax and enjoy your session.

If you need to cancel you must give us greater then 24 hours notice. In the event that you cancel with less than 24 hours notice you will be charged a cancellation fee. Please review the massage policy for all cancellation fees. 

Call Today For Your Free Consultation
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Or Call to Schedule an Appointment

(732) 503-4079