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