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Online Forms

We offer our paperwork on line so you can complete it in the convenience of your own home. Call us or Click here to email us your questions!


Health History

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

Download & Print Form (English)

Download & Print Form (Polish)

Download & Print Form (Spanish)


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