Online Forms

Schmidt Chiropractic offers our patient forms online so they can be completed in the convenience of your own home or office, before you even arrive to our chiropractic office.

  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.


New Patient Health History Form - Required

This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

Download & Print Form 


Download the Free AdobeReader®

Making Healthy Families. Sign-up using the form or call us at 516-799-5370.

Office Hours

Our Regular Schedule

Monday:

9:00 am - 12:00 pm

Tuesday:

10:00 am - 12:00 pm

3:00 pm - 7:00 pm

Wednesday:

9:00 am - 12:00 pm

3:00 pm - 7:00 pm

Thursday:

Closed

Closed

Friday:

9:00 am - 12:00 pm

3:00 pm - 7:00 pm

Saturday:

9:00 am - 12:00 pm

Closed

Sunday:

Closed

Closed

Location

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Testimonial

Review By Our Satisfied Patient

  • "I highly recommend Schmidt Chiropractic. I was suffering from excruciating sciatica pain, but with 3 visits in one week, I am feeling like myself again!!! Thank you so much!!!"
    Jessica L. Massapequa, NY

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