Welcome to DeFabio Chiropractic Spine & Sports Rehab!
You are welcome to fill out your paperwork prior to your arrival. We are happy to answer your questions!
Online Forms
Patient forms online, completed in the convenience of your home or office!
- If you do not already have Adobe Reader® installed on your computer, Click Here to download.
- Download the necessary form(s), print it out, and fill in the required information.
- Fax, scan, or bring us your printed and completed form(s) to your appointment.
Chiropractic New Patient Health History Forms
These forms give Dr. DeFabio an overall history of your health.
New Patient Forms Back Index Lower Extremity Index Neck Index Upper Extremity Index
Psoriasis New Patient Health History Forms
These forms give Dr. DeFabio an overall history of your health. Please fill out ALL forms listed below
Histamine Intolerance Questionnaire Diet Diary
Auto Accident Form
If your health issue is the result of a car accident, we need some additional information.
Medicare Patients
If you are a Medicare patient, this information is necessary for processing your claims.
ADDITIONAL Medicare New Patient Form Back Index Neck Index
Download the Free AdobeReader®
DeFabio Chiropractic Spine & Sports Rehab Financial Policies & Fees
DeFabio Chiropractic Spine & Sports Rehab offers a variety of payment options. We accept insurance as well as extend direct pay options of cash, check, and credit cards. Our staff is happy to verify and explain your benefits before you start a chiropractic care plan.
It is your obligation to understand your insurance coverage and insurance company's policies. Any services not covered by insurance are your responsibility.
Service | Fees |
Psoriasis/Phone/Skype Consultation | $195 |
Initial Comprehensive Examination | $195-255 |
Interim Re-Examination | $135 |
Standard Office Visit/Adjustment | $90 |
X-rays | $95-160 |
Therapeutic Activities (exercise, Graston, ART, stretching) | $110 |
Decompression | $70 |
Cold Laser | $35 |
Muscle Stimulation | $70 |
Orthotics, Supports, Appliances, Supplements | Per Item |
Kinesio-Tape | $15 per area |
Small group personal training | $250 for 6 sessions |
Radial Pulse Wave (RPW) | $75 |
Winback (TECAR) | $75 |
Care Wear Patch | $50/ patch: $40/wk rental |
Ultrasound | $40 |
Normatec | $15 |
PEMF & Infrared Mat | $15 |
Vibration Plate | $15 |