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Online Forms


New Patient Health History Form

La Ruffa Chiropractic & Sports Rehab offers our patient forms online so they can be completed it in the convenience of your own home or office.

  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary forms, print them out, and fill in the required information.
  • You may bring them with you to your appointment or email/fax us the completed forms.

This informs us of the history and current state of your health. Let us know what questions, concerns, and goals you have regarding your health.

Download & Print New Patient Form

Online Forms

Disabilities of the Arm, Shoulder, and Hand

Medical Release

Functional Rating Index

Low Back Disability Questionnaire

Neck Disability Index


Notice of Privacy Practices

Please review the privacy practices of our office so that you know how your health information is protected and how it can be used.

Download & Print Form



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Our Regular Schedule

Our Regular Schedule

La Ruffa Chiropractic & Sports Rehab

Monday:

8:00am - 1:00pm

3:00pm - 6:00pm

Tuesday:

8:00am - 1:00pm

No Appointments

Wednesday:

8:00 am - 1:00pm

3:00pm - 6:00pm

Thursday:

No Appointments

2:00pm - 6:00pm

Friday:

8:00am - 1:00pm

3:00pm - 6:00pm

Saturday:

Closed

Closed

Sunday:

Closed

Closed