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Online Forms at George J. Lubertazzo Family Chiropractic

At George J. Lubertazzo Family Chiropractic, we offer our paperwork online so you can complete it in the convenience of your own home.

Health History – Complete Online

Man filling out paperwork

ONLINE INTAKE FORMS

Health History – Download/Print Forms

This lets us know what’s happened, but perhaps more important, where do you want to take your health?

Health History (English)

Health History Form (Polish)

Health History Form (Spanish)


Online Forms at George J. Lubertazzo Family Chiropractic | (201) 896-0068