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Online Forms

Touch of Life Chiropractic offers our patient forms online so they can be completed in the convenience of your own home or office, before you even arrive to our chiropractic office.

  • If you do not already have AdobeReader® 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), email them to drstouchoflife@optonline.net, or you can bring them with you to your appointment.

    • Our Fax number is: (631) 874-9387

Print individual forms:

Phone #: 631-874-2797

Address: 581 Montauk Highway, Eastport, NY 11941

Email Address: drstouchoflife@optonline.net

Fax #: 631-874-9387

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Regular Schedule:
Monday: 9:30am - 1:00pm & 3:00pm - 6:00pm

Tuesday: CLOSED

Wednesday: 9:30am - 1:00pm & 3:00pm - 6:00pm

Thursday: 4:00pm - 7:00pm

Friday: 9:30am - 1:00pm & 3:00pm - 6:00pm

Saturday: 9:30am - 11:30am

Sunday: CLOSED

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