New Patient Forms

https://alignchiropracticwellness.com/uploads/Chiro%20Intake.pdfInitial Chiropractic Visit Paperwork

https://alignchiropracticwellness.com/uploads/Notice%20of%20Privacy%20Practices%20(HIPAA)%20ALIGN-converted.pdf

https://alignchiropracticwellness.com/uploads/Assignment%20of%20Benefits%20Agreement%20ALIGN-converted(1).pdf

Initial Acupuncture Visit Paperwork

https://alignchiropracticwellness.com/uploads/ACU%20New%20Patient%20Form%201.pdf

https://alignchiropracticwellness.com/uploads/Notice%20of%20Privacy%20Practices%20(HIPAA)%20ALIGN-converted(1).pdf

https://alignchiropracticwellness.com/uploads/Assignment%20of%20Benefits%20Agreement%20ALIGN-converted(1).pdf

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Align Chiropractic Wellness
493 Route 304
New City, NY 10956
845-634-0621
Alignwellness493@gmail.com

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