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Patient Forms

New Patients

Print out these forms and be sure they are filled out entirely with your signature at the bottom where appropriate. We are required to have a complete file on every patient and this information is considered part of your medical history. The consent to treat must be signed, legally we cannot do anything without your consent for us to treat you. Also a parent must accompany any child under 18 and sign the "consent to treat a minor". Thank you for understanding.

We have made it convenient for you to come in and be ready for your appointment. Having the paper work filled out ahead of time will speed up the New Patient process and give Dr. Russo more time to discuss how Chiropractic will benefit you!

We look forward to seeing you!

Dr. Laura Russo and Staff