- Wellness At Home
- Patient Forms
Smith Chiropractic offers our patient forms online so you can complete them in the convenience of your own home or office.
- Download the necessary forms, then print them out to complete.
- Fax us your printed and completed forms or bring them with you to your appointment. Our fax number is 908‑464‑0199.
- Please bring your insurance card (if applicable) and driver’s license on your initial visit.
New Patient Health History Form including payment policies and procedures
This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Please, let us know!
Wellness Made Affordable
Our in-house payment program is designed as an affordable option for those who choose not to go through their insurance plan.
Agreement for Electronic Communication
Are you OK with us sending you a text reminder of your upcoming appointment? How about an occasional email highlighting one of Dr. Smith’s wellness tips? Please print, sign and let us know either way.