9 Roosevelt Ave, Port Jefferson Station, New York

Patient Information

Whether you are a new or existing patient, our patient information section can help you!

 

Appointments

New Patients Must Schedule An Appointment.

Walk-Ins Are Welcome For Existing Patients.

To request an appointment, click here.

 

Insurance

Most Insurances are accepted. Contact us to see if your insurance is accepted.

Our list includes:
No Fault
Workers Compensation
Medicare
Blue Cross
NYShip
GHI
Magnacare
Oxford
United Healthcare

 

Patient Paperwork- Please print and fill out prior to your visit:

Patient Information Form

Patient Health Questionaire

Neck Index

Back Index

Informed Consent for Chiropractic Care

Assignment of Benefits

Notice of Privacy Practices:

For Information Only. No Need to print out or sign.

Notice of Privacy Practice