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300 East 56th Street on 2nd Avenue

New York, NY 10022

917-557-7437

170 West 233rd Street

Bronx, NY 10463

2027 Jerome Avenue

Bronx, NY 10453

3920 Veterans Memorial

Bohemia, NY 11716

Online Forms

Active Care Chiropractic and Natural Wellness Center offers our patient form(s) online so they can be completed it in the convenience of your own home or office.

  • 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 us your printed and completed form(s) or bring it with you to your appointment.

New Patient Health History Form - Required

This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

Download & Print Form 



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Location

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Office Hours

Our Regular Schedule

Bronx Location Hours

Monday:

8:00 am-8:00 pm

Tuesday:

8:00 am-8:00 pm

Wednesday:

8:00 am-8:00 pm

Thursday:

8:00 am-8:00 pm

Friday:

8:00 am-8:00 pm

Saturday:

Closed

Sunday:

Closed

Manhattan Location Hours

Monday:

9:00 am-3:00 pm

Tuesday:

9:00 am-3:00 pm

Wednesday:

9:00 am-3:00 pm

Thursday:

9:00 am-3:00 pm

Friday:

9:00 am-3:00 pm

Saturday:

By Appointment Only

Sunday:

By Appointment Only