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Practice Name

Touch Stone Rehabilitation & Health Center

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Primary Location
318 Seguine Ave
Staten Island, NY 10309
Phone: 718-356-9222
Fax: 718-605-4729

Office Hours

DayMorningAfternoon
Monday9:00 - 12:002:00 - 7:00
TuesdayBy Appt.By Appt.
Wednesday9:00 - 12:002:00 - 7:00
ThursdayBy Appt.By Appt.
Friday9:00 - 12:002:00 - 7:00
SaturdayClosedClosed
SundayClosedClosed
Main Content

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

Download & Print Form


NY Motor Vehicle No-Fault Application for Benefits

3 pages front and back

Download & Print Form


NY Motor Vehicle No-Fault Assignment for Benefits

For accidents occurring on and after 3/01/02

Download & Print Form


Chiropractic Registration and History - REQUIRED

Our principal client form everyone must fill out

Download & Print Form


Attorney Information

One page total

Download & Print Form


Insurance Financial Agreement

Very important form to assist you the client.

Download & Print Form


Individual Patients Authorization

One page front and back

Download & Print Form


Notice of Privacy Practices & Acknowledgement

Five pages total

Download & Print Form


Confidential Patient Information

One page total

Download & Print Form


X-Ray Authorization

One page total

Download & Print Form



Download the Free AdobeReader®

Special Offer

$75 on CDL DOT medical exams

Sign-up using the form or call us at 718-356-9222 to take advantage of this exclusive offer.

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Online Forms

Touch Stone Rehabilitation & Health Center offers our patient form(s) online so they can be completed in the convenience of your own home or office.
Download Online Forms Here

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Services

We strive to provide complete care for our patients. Learn more about all the services we provide.

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Contact

Touch Stone Rehabilitation & Health Center
318 Seguine Ave
Staten Island, NY 10309
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  • Phone: 718-356-9222
  • Fax: 718-605-4729
  • Email Us
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Office Hours

DayMorningAfternoon
Monday9:00 - 12:002:00 - 7:00
TuesdayBy Appt.By Appt.
Wednesday9:00 - 12:002:00 - 7:00
ThursdayBy Appt.By Appt.
Friday9:00 - 12:002:00 - 7:00
SaturdayClosedClosed
SundayClosedClosed
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