New Patient Paperwork

Queens Chiropractic Associates, P.C. offers our patient form(s) online so they can be completed in the convenience of your own home or office.

  • All forms are PDF files. You will need AdobeReader® to view them.
  • If you do not already have AdobeReader® installed on your computer,
    Click Here to download.
  • Download the necessary form(s), print them out and fill in the required information.
  • Bring the necessary form(s) to your appointment.
  • New Patient Intake

    Click to Download

  • Lien

    Click to Download

  • No Fault

    Click to Download

  • Workers' Compensation

    Click to Download

  • Admisión de Nuevos Pacientes

    Haga Clic Para Descargar

  • Derecho de Retención

    Haga Clic Para Descargar

  • Sin Culpa

    Haga Clic Para Descargar

  • Compensación al Trabajador

    Haga Clic Para Descargar

OFFICE HOURS


Monday
10:00am - 1:00pm
3:00pm - 7:00pm


Tuesday
10:00am - 1:00pm
3:00pm - 7:00pm


Wednesday
10:00am - 1:00pm
3:00pm - 7:00pm


Thursday
10:00am - 1:00pm
3:00pm - 7:00pm


Friday
10:00am - 1:00pm
3:00pm - 7:00pm


Saturday
Closed

Queens Chiropractic Associates, P.C.

865 Cypress Avenue
Ridgewood, NY 11385

(718) 628-5300