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 



Download the Free AdobeReader®

Location

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Office Hours

Our Regular Schedule

Bronx Location Hours

Monday

10:00 am - 7:30 pm

Tuesday

10:00 am - 7:30 pm

Wednesday

10:00 am - 7:30 pm

Thursday

10:00 am - 7:30 pm

Friday

10:00 am - 6:30 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

7:30 am - 3:00 pm

By Appointment Only

Sunday

7:30 am - 3:00 pm

By Appointment Only

Broadway Location Hours

Monday

Closed

Tuesday

Closed

Wednesday

Closed

Thursday

Closed

Friday

9:00 am - 7:00 pm

Saturday

By Appointment Only

Sunday

By Appointment Only

Bronx Location Hours

Monday
10:00 am - 7:30 pm
Tuesday
10:00 am - 7:30 pm
Wednesday
10:00 am - 7:30 pm
Thursday
10:00 am - 7:30 pm
Friday
10:00 am - 6:30 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
7:30 am - 3:00 pm By Appointment Only
Sunday
7:30 am - 3:00 pm By Appointment Only

Broadway Location Hours

Monday
Closed
Tuesday
Closed
Wednesday
Closed
Thursday
Closed
Friday
9:00 am - 7:00 pm
Saturday
By Appointment Only
Sunday
By Appointment Only