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Forms

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  3. Forms

Accidental Form

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Auto Pain Diagram Form

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Auto Injury Patient Worksheet

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Chart of Effects of Spinal Misalignments

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Chiropractic Registration and History

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New York Motor Vehicle Insurance Law Form

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No Fault Insurance Form

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Treatment Cancellation Form

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dr. jonathan a sirota

We understand that injuries and acute pain can happen unexpectedly. 

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Business Hours

  • Mon To Fri : 8:00 to 6:00
  • Sat : By Appointment Only
  • Sun : Closed

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