308 Springfield Avenue
Berkeley Heights, NJ 07922

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908.771.0220
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DeFabio Chiropractic Spine & Sports Rehab offers our patient forms online so they can be completed in the convenience of your own home or office, before you arrive. 

  • 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, scan, or bring us your printed and completed form(s) to your appointment.

New Patient Chiropractic Health History Forms

These forms give Dr. DeFabio an overall history of your health.
Download & Print Form
Back Index
Lower Extremity Index
Neck Index
Upper Extremity Index

Acupuncture New Patient Health History Forms

These forms give Amanda Occhipinti an overall history of your health 
Download & Print Form 

Acupuncture Informed Consent 

Download & Print Form


Auto Accident Form

If your health issue is the result of a car accident, we need some additional information.
Download & Print Form


Medicare Patients

If you are a Medicare patient, this information is necessary for processing your claims. 
Download & Print Form
Back Index
Neck Index

Download the Free AdobeReader®

Testimonials

Testimonials
Click here to see what our patients have to say!
Make An Appointment
We will do our best to accommodate your busy schedule. Schedule an appointment today!
Online Forms
Our patient forms are available online so they can be completed in the convenience of your own home or office.