Patient Forms

Online Forms

Please make sure to fill out the entire form before sending or handing it in to our office. Thank you.

New Patient Integrative Medicine Welcome Packet

Anti-Inflammatory Food List

Filling Out the New Patient Intake Form

Your time is valuable. Save it by filling out the New Patient Intake Form before your first visit. This ensures a prompt start for your evaluation and guarantees your full treatment time.

You can even take it a next step by saving or scanning in your filled out form and emailing it to

The New Patient Intake Form is important for a few reasons, mainly, this is how our practitioners will get to learn more about you and get a better grasp of what your needs are. You’ll have access to a number of services at Physio Logic and having this information will help us judge what treatments are best suited for you.

These are the things we strong encourage our patients to bring on their first day:

  • Completed New Patient Intake Form (kudos to you if you emailed ahead of time)
  • X-rays, MRIs, and any other imaging done in the past 6 months.
  • Medical History Forms
  • Positive Vibes (Probably the most important thing. Don’t believe us? Read here: *link to positive psychology and increased healing rates article)

Thank you in advance for your cooperation. If you have any other questions or concerns, please call us at 718.260.1000 or email

We look forward to seeing you at our office.