Patient Forms

Patient Forms - The Chiropractic Source

Please take a moment to review and complete these forms prior to coming into the office. Thank you!

Welcome to our Patient Center. We are extremely excited and proud of you for taking these next steps towards optimal health and wellness. Please take a few moments to fill out the Patient Intake form below on either your desktop computer or iPad. Please do not use your iPhone or smart phone for this. Once you finish, please sign and press submit, this will push your your application for care to our front desk for processing. We look forward to seeing you here soon.

  • Patient Intake Forms: Click Here

  • Adult Metabolic Intake Forms (For Autoimmune Conditions): Click Here

What to Expect Upon Arrival

You will come in and sit with the doctors for a short consultation. Here is where you can inform the doctors of any of your healthcare concerns. After your consultation, the doctors will do a detailed evaluation which includes digital postural evaluation, digital postural X-Ray and a report of findings.

This will give the doctors a better understanding to the true cause to your health care concerns. After the consultation and spinal evaluation, you will receive your first adjustment to begin the healing process. This first visit typically lasts about 30-45 minutes in total.

We look forward to meeting you and can’t wait to take your health and performance to the next level!

Voted Best Chiropractor in Cedar Grove!

Voted Best Chiropractor in Cedar Grove NJ

$69 Deal
Exam, Digital Postural Analysis, Digital X-Rays + Report of Findings.
$250 Value

Attention Cedar Grove: STOP Living with Pain. Corrective Chiropractic Can Help!
Call 973-228-0500

Please allow up to 24 hours for a reply. Should this be urgent, please contact the office at 973-228-0500 for immediate assistance. Thank you.

Corrective Chiropractic Care Has Helped Patients With…

  • Back Pain
  • Neck Pain
  • Sciatica Pain
  • Shoulder Pain
  • Frozen Shoulder
  • Disc Herniation
  • Postural Deformities
  • Scoliosis
  • Plantar Fasciitis
  • Allergies & Asthma
  • Fatigue
  • Sleep Disorders
  • Low Metabolism
  • High Blood Pressure
  • Acid Reflux / GERD

How Can We Change Your Life?

Our Cedar Grove, New Jersey chiropractic office offers four very powerful services, working in unison, to provide you exceptional health, free of pain and and disease. These services include Corrective Chiropractic Care, Spinal Decompression Therapy, SoftWave Therapy, and Massage Therapy.

We believe in natural means to heal your body, free of toxic medication and invasive surgeries. We are spine experts, and have the right formula to not just relieve your pain, but improve your health, mobility, and longevity.

  • Corrective Chiropractic Care
  • Spinal Decompression Therapy
  • SoftWave Therapy
  • Massage Therapy
The Chiropractic Source
388 Pompton Avenue
Cedar Grove, New Jersey 07009
Office: 973-228-0500
Monday9 AM - 1 PM 3 PM - 7 PM
Tuesday3 PM - 6 PM
Wednesday9 AM - 1 PM 3 PM - 7 PM
Thursday9 AM - 1 PM 3 PM - 7 PM