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Health History

Would you like to save some time on your first visit?  We offer our paperwork online so you can complete it in the convenience of your own home. Here are the essential forms we use and why we need them.

Health History and Future

This let’s us know what’s happened, but perhaps more important, where do you want to take your health?

Download & Print Form

Health History for Children & Adolescents

A health history form specifically for children and adolescents.

Download & Print Form

Free AdobeReader®

Each form is a PDF document file. If you do not already have AdobeReader® installed on your computer, click the Adobe® image to download for free.

Family Chiropractic Office
14825 Main Rd, Mattituck, NY | (631) 298-5333
57C North Ferry Road, Shelter Island, NY | (631) 749-5333