Touch Stone Rehabilitation & Health Center offers our patient forms online so they can be completed in the convenience of your own home or office, before you even arrive to our chiropractic office.

• If you do not already have AdobeReader® installed on your computer, Click Here to download.
• Download the necessary form(s), print it out and fill in the required information.
• Fax us your printed and completed form(s) or bring it with you to your appointment.

Workman’s Compensation

One page total

NY Motor Vehicle No-Fault Application for Benefits

3 pages front and back

NY Motor Vehicle No-Fault Assignment for Benefits

For accidents occurring on and after 3/01/02

Chiropractic Registration and History - REQUIRED

Our principal client form everyone must fill out

Attorney Information

One page total

Insurance Financial Agreement

Very important form to assist you the client.

Individual Patients Authorization

One page front and back

Notice of Privacy Practices & Acknowledgement

Five pages total

Confidential Patient Information

One page total

X-Ray Authorization

One page total