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Complete these 4 forms and fax or e-mail them to our office prior to your initial FLT visit.  This will save you time and allow you to get the most from your visit.  The Health History is designed with a nutritional slant. If you have completed the patient history form in our office for prior treatment please complete this form as well .  The Health Profile will give us a very good idea as to your present status. Do your best with the Food Journal, at least 3 days.  Do not get bogged down with the amounts of each food eaten.  The foods and the time of day will be most helpful.  Any questions please call the office and we will answer your questions.


First Line Therapy History Form

download and print History Form from here

First Line Therapy Food Journal

download and print Journal Form from here

First Line Therapy Health Profile

download and print Profile Form from here

Identi-T Stress Questionnaire

download and print Questionnaire from here

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30 E 40th St New York, NY 10016
150 Purchase Rye, NY 10580
THIS ---->https://midtownnycchiro.chiromatrixbase.com/patient-center-and-forms/first-line-therapy-forms.html

Office Hours

Monday7:30-2 (NYC)4pm - 7pm Teaching @ Manhattanville College
Tuesday7:30-1:30 (NYC)3:45-7 (RYE)
Wednesday7:30-2 (NYC)3:30-6 (NYC)
Thursday7:30-2 (NYC)3-5 (NYC)
Friday8 - 2 (RYE)Closed
Day Morning Afternoon
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
7:30-2 (NYC) 7:30-1:30 (NYC) 7:30-2 (NYC) 7:30-2 (NYC) 8 - 2 (RYE) Closed Closed
4pm - 7pm Teaching @ Manhattanville College 3:45-7 (RYE) 3:30-6 (NYC) 3-5 (NYC) Closed Closed Closed


star I have been a patient of Dr. A on & off for a number of years -initially for back pain; however I quickly found his wisdom & knowledge far extends that of chiropractic services. No matter what ailes me, D. A's experience & expertise in wholistic care reaches the problem & corrects the issue - from muscular & skeletal complaints to combating a simple cold. I could not recommend a medical practitioner more highly.

Jennifer E.
New York, NY

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