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Practice Name

Alive and Well Chiropractic

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Primary Location
124 E. 40th Street, Suite 1104
New York, NY 10016
Phone: 212-661-7744

Office Hours

DayMorningAfternoon
Monday10:00 - 12:453:00 - 6:45
Tuesday3:00 - 6:45
Wednesday8:30 - 12:453:00 - 6:45
ThursdayClosedClosed
Friday9:30- - 3:00
SaturdayClosedClosed
SundayClosedClosed
Main Content

Alive and Well Chiropractic 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 our Patient History and Stress Profile forms and fill in the required information.
  • E-mail us your completed forms to chiroalive@gmail.com
  • Or print them and bring with you to your appointment.
  • IF YOU DON'T FILL THESE OUT ONLINE, please come 15-20 minutes early for your appointment.

New Patient Forms (2)

These let us know the history and current state of your health, your conditions, and the factors that play into your present and future well-being. Please fill out both forms below and e-mail or print them.

Complete History Form Online

Complete Stress Profile Online



Download the Free AdobeReader®

Exclusive Offer

$79.99 First Visit for New Patients

(a $265 value)

Sign-up using the form or call us at 212-661-7744 to take advantage of this exclusive offer.

Name: *
Email: *
Phone: *

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Groupon Appointments

Groupon appointments are ONLY scheduled online.

If you are using a Groupon voucher, click the button below to schedule your appointment. 

Schedule Now

Groupon appointments are limited so that we may continue caring for our regular patients. Due to this, voucher holders may not be able to schedule right away. If you need care sooner, you may forego the use of your voucher and schedule with us directly. 

If your voucher has expired, you may still use it for a discount on regular services. In this case you would call our offices directly.

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Good old-fashioned, hands-on, health-enhancing, scientifically-based, heart-driven, immune-boosting, research-supported,

CHIROPRACTIC


Contact

Alive and Well Chiropractic
124 E. 40th Street, Suite 1104
New York, NY 10016
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Office Hours

DayMorningAfternoon
Monday10:00 - 12:453:00 - 6:45
Tuesday3:00 - 6:45
Wednesday8:30 - 12:453:00 - 6:45
ThursdayClosedClosed
Friday9:30- - 3:00
SaturdayClosedClosed
SundayClosedClosed
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