New Patient Paperwork

Chiropractic Center of Pelham offers our patient form(s) online so they can be completed in the convenience of your own home or office.

  • All forms are PDF files. You will need AdobeReader® to view them.
  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print them out and fill in the required information.
  • Fax us your printed and completed form(s) or bring them with you to your appointment.


By appointment
Walk ins welcome
Emergency hours available
Extended hours available

Chiropractic Center of Pelham
111 Wolfs Lane
Pelham, NY 10803
(914) 738-6201