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.


Monday - Friday
By appointment
Walk ins welcome
Emergency hours available
Extended hours available


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