Patient Intake Forms

We offer our paperwork on line so you can complete it in the convenience of your own home. Here are the essential forms we use and why we need them.


Intake Forms

This let’s us know what’s happened, but perhaps more important, where do you want to take your health?
 Download & Print Form


Free AdobeReader®

Each form is a PDF document file.  If you do not already have AdobeReader® installed on your computer, click the Adobe® image to download for free.

Dr. Bartolo Asks some important questions of interest to Massapequa residents - Chiropractor Massapequa Dr. Bartolo Asks...

Where do most Massapequa residents get their first vertebral subluxation?
Being born in a hospital is a common source of vertebral subluxation. Trauma from forceps delivery has been replaced with drugs, vacuum extraction, Cesarean section and births that are "scheduled" to fit the workweek routines of Ob-Gyns. That's why we recommend a chiropractic checkup for every Massapequa newborn.
Why do so many drugs require a prescription?
Because they can be dangerous? I chose a chiropractic career specifically because it avoids artificial means of pain relief. Our Massapequa chiropractic practice attracts health-conscious families that prefer a safe and natural solution. Ready to get started? Call our office today.