Ridgefieldchiropractic

In order to fill out your paperwork online you will need to call the office at 203-431-1688 for your Access Code # which will be needed to create a Username and Password to log into our system.

Once you are logged in you can complete your paperwork online, as well as schedule future appointments.

When filling out your New Patient Paperwork online, please be as complete as possible and fill out all the required fields including Personal Information and Contact Information, Your Personal Health History, Authorizations and Releases, Billing Profile and the Current Condition you are presenting with.

Properly filling out your online paper work is the first step to receiving the best possible care in our office.