New Patient Paperwork

Welcome! For your convenience, all chiropractic new patient paperwork is available below. Please complete the forms that apply to you and either bring them with you to your visit, or email to dr.imossi@comcast.net ahead of your visit. Make sure to tell us that you will be bringing in your paperwork, so that we schedule you accordingly. To schedule an appointment, call: (860) 828-3435.

Please complete the appropriate forms below.  All new patients need the first two forms - patients with neck pain, back pain and/or injuries from an accident will need to complete the additional forms:

• New Patient Case History (Adults 18yo+) / New Patient Pediatric Case History (Infants & children under 18yo)

• New Patient Consent Forms

• Neck Pain Questionnaire

• Back Pain Questionnaire

• Motor Vehicle Accident Form

• Worker’s Compensation Accident Form

  Thank you - we look forward to meeting you soon!