Patient Info

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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

New Patient Forms

CAAB-25 Questionnaire

Histamine Intolerance Questionnaire Diet Diary

Auto Accident Form

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

 Auto Accident Patient Forms

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


Location

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HOURS OF OPERATION

Monday

9:30 am - 1:00 pm

2:30 pm - 7:00 pm

Tuesday

10:30 AM -1:00 PM

2:30 pm - 5:00 pm

Wednesday

9:30 am - 1:00 pm

2:30 pm - 7:00 pm

Thursday

Closed

Friday

9:30 am - 1:00 pm

2:30 pm - 7:00 pm

Saturday

Closed

Sunday

Closed

Monday
9:30 am - 1:00 pm 2:30 pm - 7:00 pm
Tuesday
10:30 AM -1:00 PM 2:30 pm - 5:00 pm
Wednesday
9:30 am - 1:00 pm 2:30 pm - 7:00 pm
Thursday
Closed
Friday
9:30 am - 1:00 pm 2:30 pm - 7:00 pm
Saturday
Closed
Sunday
Closed