New Practice Member Paperwork

Lombardi Chiropractic offers our patient form(s) online so they can be completed in the convenience of your own home or office.

  • All forms are PDF files. You will need AdobeReader® to view them.
  • If you do not already have AdobeReader® installed on your computer,
    Click Here to download.
  • Download the necessary form(s), print them out and fill in the required information.
  • Bring the necessary form(s) to your appointment.
  • Adult Intake Forms

    Click to Download

  • Pediatric Intake Form (Newborn)

    Click to Download

  • Pediatric Intake Form (Infant)

    Click to Download

  • Pre-School Child History

    Click to Download

  • School Aged History

    Click to Download

OFFICE HOURS


Monday
7:30am - 12:00pm
3:00pm - 6:00pm


Tuesday
Closed


Wednesday
7:30am - 12:00pm
3:00pm - 6:00pm


Thursday
7:30am - 12:00pm
3:00pm - 6:00pm


Friday
Closed


Saturday & Sunday
Closed

Lombardi Chiropractic

1116 Upper Lenox Ave
Oneida, NY 13421

(315) 363-4114
Chiropractor Oneida NY Peter Lombardi