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Reiss 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


Member Wellness Registration Form - Optional

This form can be filled out to register for access to the member wellness section of our website. You can also sign up for our monthly newsletter to keep up on current health issues and news and events in our chiropractic office. You can print the form out and bring it in to our office during your next visit with our chiropractor, or Click Here to register online! The online newsletter sign-up is also on the right. We look forward to making your experience with our office and website more interactive and rewarding!

Download & Print Form



Download the Free AdobeReader®

Exclusive Offer

New patients receive a Free Consultation.

Sign-up using the form or call us at 914-962-5413 to take advantage of this exclusive offer.

THIS ---->https://reisschirocom.chiromatrixbase.com/online-forms.html

Office Hours

DayMorningAfternoon
MondayCall for ApptCall for Appt
Tuesday10am - 1pm4pm - 7pm
WednesdayCall for ApptCall for Appt
Thursday10am - 1pm4pm - 7pm
FridayCall for ApptCall for Appt
Saturday9am - 12pmClosed
SundayClosedClosed
Day Morning Afternoon
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
Call for Appt 10am - 1pm Call for Appt 10am - 1pm Call for Appt 9am - 12pm Closed
Call for Appt 4pm - 7pm Call for Appt 4pm - 7pm Call for Appt Closed Closed

I am happy to announce that I am now accepting patients who have Fidelis Care, CareConnect, HIP, Emblem Health, and The Empire Plan as well as all other insurance plans.  Please call the office to schedule your appointment today.

Testimonial

The most accommodating office, always fits you in, and treats you like family... Dr. Reiss.

Elyse A.
Yorktown Heights, NY

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