Online Forms

Our Advanced Spine & Wellness offers our patient forms online so they can be completed in the convenience of your own home or office, before you even arrive at our center for healing and better health. 

  • 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.
  • Please fax your printed and completed form(s) to us at (845) 680-6139 or bring it with you to your appointment.

New Patient Health History 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!

Download & Print Form 



Download the Free AdobeReader®

Sign-up using the form or call us at 201-297-1700 to make your appointment today!

Office Hours

Our Regular Schedule

Monday:

9:00 am-1:00 pm

3:00 pm-7:00 pm

Tuesday:

8:00 am-12:00 pm

Wednesday:

9:00 am-1:00 pm

3:00 pm-7:00 pm

Thursday:

8:00 am-12:00 pm

Friday:

9:00 am-1:00 pm

3:00 pm-7:00 pm

Saturday:

9:00 am-12:00 pm

Sunday:

Closed

Location

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Testimonials

Reviews By Our Satisfied Patients

  • "When I first arrived at Dr. Klayman's office, I had a "pinched nerve" in my lower back that was causing pain down to my left foot. Before arriving, I had already been diagnosed with a Herniated Disc. I could not sleep and I was limping when I walked, all because of the pain from the pinched nerve and Herniated Disc. I had tried other things before coming to see Dr. Klayman. I went to an Orthopedist, who referred me for an MRI. This showed the Herniation and Osteoporosis. The Orthopedist gave me 3 separate injections, epidurals and spinal injections at the hospital. I got NO RELIEF! I had doubts that a Chiropractor could help me, but I decided to try Dr. Klayman’s approach. Once I began care with Dr. Klayman, I started noticing a cessation of my nerve pain. I noticed that I was feeling better, sleeping better and limping less and less. My experience with Dr. Klayman and the Chiropractic Wellness Center can be described as “RELIEF from my Nerve Pain!”"
    Laurel - Northvale, NJ

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