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
Forms By Insurance Company
Aetnas, NYS Empire Plan, Orange Ulster Indecs, Oxford or United Healthcare
BCBS or Cigna
Office Hours
Scotchtown Chiropractic &
Physical Therapy
633 New York-211 #2
Middletown, NY 10941
Phone: (845) 692-3224
Fax: (845) 692-3426