
Health Information Forms:
To speed the processing of your paperwork, patient information forms are available here.
These forms are available in PDF format. If you do not have Adobe Acrobat Reader, click here for a free download.
Please select the appropriate forms and complete the text box areas provided.
You have four options for submitting the completed forms:
*Patient Information Sheet (170KB PDF) ![]()
*Patient Health Questionnaire (392KB PDF) ![]()
*Oswestry Form (24KB PDF) ![]()
*Guarantee Agreement (59.2KB PDF) ![]()
*Note: All patients need to submit these forms.
No Fault/Personal Injury Questionnaire (628KB PDF) ![]()
Workers Compensation History (777KB PDF) ![]()
BCBS - Initial Health Status Form (373KB PDF) ![]()
BCBS - Patient Progress Form (217KB PDF) ![]()
Back Index Form (79KB PDF)
Submit this form if you are experiencing back pain
Neck Index Form (75KB PDF)
Submit this form if you are experiencing neck pain
Health Appraisal Questionnaire (424KB PDF)
-Submit this form if you are interested in nutritional counseling
Insurance Companies:
If your insurance company is not listed below, please contact our office. Our list of providers is always changing. We are pleased to participate in:
|
Aetna |
Island Group Administrators |
We accept credit cards and checks.
Contact the Long Island Spine & Sports Injury Center at 631-462-0917 with questions or to set up an appointment. Located in the center of the Suffolk County NY major metropolitan area, see Dr. Olson for chiropractic, fitness training, A.R.T., cold laser therapy, acupuncture, and massage therapy services.