Patient Forms

Premier Chiropractic & Dr. Richard Bodnarchuk, Little Falls, NJ

Download the patient forms below by clicking on the title of the appropriate form. Fill the form out and bring it with you to your first appointment to reduce your wait time.

NameDateDownload
Patient History Intake Form02/04/2014Download
Automobile Accident Intake Form02/04/2014Download

Address

Premier Chiropractic
Dr. Richard Bodnarchuk
102 East Main Street
Little Falls, NJ 07424
Directions

tel: 973-256-0311
fax: 973-256-2192
email: office@healthyspineinmotion.com

Office Hours

Monday10:00 am - 1:30 pm
3:30 pm - 7:00pm
Tuesday2:00 pm - 6:00 pm
Wednesday10:00 am - 1:30 pm
3:30 pm - 7:00pm
ThursdayClosed
Friday11:00 am - 6:00 pm
SaturdayBy Appointment Only

Insurance Plans

Chiropractic has been established as a healing art for over 100 years and, like any time-tested profession, has made many advancements. Due to Chiropractic’s proven track record, effectiveness and public demand, most, if not all, insurance plans cover Chiropractic Care.

About Us

Dr. Rich was raised in Little Falls, New Jersey. He received his Doctorate degree from Life University in 1997, which was followed by work in private, as well as group practices, for several years.