(718) 429-6630
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(718) 429-6630
Rego Park Office
Bronx Office

Online Forms
Village Chiropractic & Physical Therapy 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.

General Patient Form - Required


This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

Location

Click the map to view the location nearest to you

Office Hours

Our regular schedule
Rego Park Office
Monday:
10:00 am - 02:00 pm
03:00 pm - 07:00 pm
Tuesday:
10:00 am - 02:00 pm
03:00 pm - 07:00 pm
Wednesday:
10:00 am - 02:00 pm
03:00 pm - 07:00 pm
Thursday:
Closed
Friday:
10:00 am - 02:00 pm
03:00 pm - 07:00 pm
Saturday:
Closed
Sunday:
Closed
Bronx Office
Monday:
10:00 am - 02:00 pm
03:00 pm - 07:00 pm
Tuesday:
10:00 am - 02:00 pm
03:00 pm - 07:00 pm
Wednesday:
Closed
Thursday:
10:00 am - 02:00 pm
03:00 pm - 07:00 pm
Friday:
Closed
Saturday:
Closed
Sunday:
Closed

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Testimonials
Reviews By Our Satisfied Clients
"Dr. Rich was awesome and personable. A lot of knowledge and seen very quickly. Great office."
James T.
Rego Park Office
Bronx Office