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

  • If you do not already have Adobe Reader® installed on your computer, click here to download.
  • Download the necessary form(s), print it out, and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.

New Patient Intake Form - Required

This helps us know the history and current state of your health. What questions, concerns, goals regarding wellness can we help you with? Let us know!

Payment Options

Gavric Chiropractic believes in the value of wellness care for you and your family and have maintained a pricing structure that allows care for all budgets. Our office participates in most insurance programs. We also accept auto accident and workers compensation cases. For patients who have little or no chiropractic insurance coverage, flexible payment programs can be arranged. To learn more about our payment options for chiropractic and wellness care, you can call our office directly.

Insurance
Most insurance plans are accepted at our office. We accept auto accident, workers compensation, personal injury and most health insurance plans, including Medicare. Since there are so many plans and coverage varies widely, please call us to find out if your plan covers care in our office. Our staff will verify and explain your benefits before treatment, at no charge.

For those with high co-pays or high deductibles, ChiroHealthUSA could be a great program for you.

No Insurance
For patients who have little or no chiropractic insurance coverage, flexible payment programs can be arranged. If you have no insurance or do not have chiropractic benefits there is still a way for you to receive the care you need. Many patients pay directly for care, as they discover chiropractic to be extremely cost-effective and affordable.

We work with ChiroHealthUSA programs to help make our services more affordable. For more information about ChiroHealthUSA.

Family Plans
Our focus at Gavric Chiropractic is to actively help you and your family in taking responsibility for your health, wellness, and disease management. We assist and guide you to take the time to care for the important people in your world: you and your family. In an effort to make living the wellness lifestyle as easy and affordable as possible, we can create a customized family plan that is specific to you and your family.

Health on your budget
At Gavric Chiropractic, we're convinced that a small amount of your time and money to care for your most important asset--your health--will be far less time consuming and expensive than trying to recover it. If you feel you do not have enough time or money to take care of yourself, please contact us--we can help! The last thing we want is for you to come to our wellness center in crisis. So please, we would like to encourage you to take your health very seriously. As the old saying goes, if you don't have your health, you don't have anything. Unfortunately, too many people don't discover how true that statement is until it is too late.

Get In Touch

Our Contact Details

Call / Mail

Business Hours

Monday, Wednesday and Friday: 8:30 AM - 12:00 Noon
2:00 PM- 6:00 PM

Tuesday & Saturday By Appointment Only

Our
Contact Detail

1160, First Avenue. Alies Steet
NY 09878, US.

Call us:
123-456-7890

Mail us:
info@business.com