The Newark Chiropractor to see - Chiropractor Newark

Health History

We offer our paperwork on line so you can complete it in the convenience of your own home. Here are the essential forms we use and why we need them.

Health History and Future

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

Worker’s Compensation

If your health issue is the effect of an injury at work, this information will help us help you.
 Download & Print Form

Auto Accident

If your health issue is the effect of an injury suffered in an auto accident, this information will help us help you.
 Download & Print Form

Neck Disability Index / Revised Oswestry Low Back Pain Questionnaire

If you have received chiropractic care elsewhere, or have medical records we will need from another practitioner, please sign this release.
 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. Cohen Asks some important questions of interest to Newark residents - Chiropractor Newark Dr. Cohen Asks...

Can babies with colic be helped with chiropractic?
It's probably one of the times a parent feels the most helpless. But based on the research, chiropractic and colic relief appear to go hand in glove. With success rates in the mid-90% range, more and more Newark parents are seeing a chiropractor. If you have a baby with colic learn how chiropractic may help.
What is the purpose of pain?
Pain prompts many Newark folks to begin chiropractic care. But pain isn't the problem! Pain is just how your body alerts you that a limit has been reached (or exceeded), that something isn't working right and that some type of change is needed. As a chiropractor, my job is finding the underlying cause and recommending the changes needed to bring your body back into balance.