New Patient Paperwork

Scotchtown Chiropractic & Physical Therapy 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.

REQUIRED FOR CHIROPRACTIC CARE

REQUIRED FOR PHYSICAL THERAPY

Forms By Insurance Company

Aetnas, NYS Empire Plan, Orange Ulster Indecs, Oxford or United Healthcare

BBCS or Cigna

GHI, Health Now, HIP, PPO & HMO, or Univera

Healthnet or MVP

Office Hours

Monday
7:30am - 6:00pm


Tuesday
9:00am - 4:30pm


Wednesday
7:30am - 6:00pm


Thursday
9:00am - 4:30pm


Friday
7:30am - 6:00pm


Saturday
9:00am - 11:00am

Monday
7:30am - 7:00pm*


Tuesday
Closed


Wednesday
7:30am - 7:00pm*


Thursday
Closed


Friday
7:30am - 7:00pm*


Saturday
Closed

*Indicates Last Appointment Time

Monday
9:00am - 6:00pm*


Tuesday
12:00pm - 5:00pm*


Wednesday
Closed


Thursday
11:30am - 6:00pm*


Friday
Closed


Saturday
9:00am - 4:00pm*

*Indicates Last Appointment Time

Scotchtown Chiropractic &
Physical Therapy

633 New York-211 #2
Middletown, NY 10941
Phone: (845) 692-3224
Fax: (845) 692-3426