New Patient Information

Welcome to our Practice!

In preparation for your first visit please watch the 5-minute introductory video to the right to help familiarize you with our gentle Chiropractic approach and give you information about your examination and first treatment.

We look forward to getting to know you and working together with you on your healing journey!
Introductory Video by
Dr. Deborah Diamond D.C. (5 Minutes)


Please click on the button below to print out a PDF form that will give you important information about your first visit.
    Thank you!
Click Here

Online history form


    Please read these instructions carefully before

clicking on the link below to fill out and submit
our online intake form.

    Please submit the form a minimum of
24-hours before your scheduled appointment.     

It takes an average of 15 minutes to
complete the intake form. Thanks!

1) You are not required to put in your Social Security Number and you can leave it blank if you prefer.

​2) When entering your birth date enter the month and the year before the day.


3) Please enter your home address for our records even though it is not required to submit the form.


4) When answering the question for the date when your symptoms began, if you don't remember the exact date please put the first day of the approximate month that your symptoms first started.  This will indicate to us that you are estimating the start date.


5) You can describe up to 4 complaints but only one at a time, so only choose only one body part (or contiguous parts) and then describe the associated symptoms and you will then have an opportunity to describe additional symptom areas afterwards.


6) Please press the Submit button at the end of the form to send it directly to our secure medical records program.  If you want a printed copy for your records please request this at your first visit.

PLease Note
 
We understand that the online history form is a basic form with some limitations for detailed information gathering.

Just do your best to complete the form and the doctor will gather additional details at your first visit.

Thanks!
Click Here to Connect to the Online History Form