Our Financial Policy and Online Forms

If you lose something, it costs time or money or both to recover it. That’s true whether you lose your keys, your wallet or your health.

How much you’re willing to invest to recover your health is largely a function of how much you value your health. Everyone values his or her health differently.

So that we can concentrate more fully on helping you reclaim your health, we make our financial policy simple, easy to understand and fair for all parties involved.

Your financial responsibility can vary depending upon whether your health problem was the result of a car accident, is preventive in nature or covered by an insurer.


Online Forms

We offer our paperwork on line so you can complete it in the convenience of your own home. 


Health History

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

  Download & Print Form


Automobile Accident

If your health issue is the result of a car accident, we need some additional information.

  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.

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Dr. Nick Asks some important questions of interest to Nutley residents - Chiropractor Nutley Dr. Nick Asks...

How could chiropractic help a stomach problem?
Chiropractic works by locating and reducing areas of the spine compromising nerve communications between your brain and your body. If nerves to or from your stomach are irritated, your stomach won't work right. Chiropractors find the source of the interference, reduce it and allow your body to work as designed.
How long does it take to form a bone spur?
Many who begin chiropractic care think their problem happened "last week when you bent over funny." But pictures of the spine tell a different story. Chiropractors know it can take your body years to deposit the calcium necessary to form a bone spur. It's your body's response to stress due to gravity or joint malfunction. And chiropractic care can help.