Chiropractor, The Long Island Spine & Sports Injury Center

Chiropractor Serving Commack, Smithtown, Hauppauge, Kings Park, Elwood, Dix Hills, Brentwood, & Long Island

New Patient Forms for Dr. Gary Olson

Patient Forms:

  1. New Patient Health Questionnaire (715KB PDF)  |  Click here for Word format (1.92MB DOC)
  2. No Fault/Personal Injury Questionnaire (628KB PDF)
  3. Workers Compensation History (777KB PDF)

Additional Forms:

  1. Established Patient Update Form (392KB PDF)
  2. Oswestry Form (24KB PDF)
  3. Guarantee Agreement (59.2KB PDF)
  4. Back Index Form (79KB PDF) Submit this form if you are experiencing back pain
  5. Neck Index Form (75KB PDF) Submit this form if you are experiencing neck pain
  6. Health Appraisal Questionnaire (424KB PDF) Submit this form if you are interested in nutritional counseling
  7. BCBS – Initial Health Status Form (373KB PDF)
  8. BCBS – Patient Progress Form (217KB PDF)

Health Forms Information:

Adobe Acobat ReaderTo 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:

  1. Email the forms as attachments to drgaryolson@drgaryolson.com
    Please include your last name in the subject line of your email. (i.e. Jones workers comp form)
  2. Fax the forms to our office at 631-462-1038.
  3. Bring the forms with you at the time of your appointment.
  4. Mail the forms to the office early enough to guarantee receipt prior to your appointment.

Location and Office Hours for Dr. Gary Olson, DC

Office Hours

Monday & Wednesday
   9 am – 1 pm

Tuesday & Thursday
   9 am – 1 pm
   3 pm – 7 pm

Friday:  Emergency

   9 am – 1 pm

Sunday:  Emergency


Set An Appointment

Set a chiropractic appointment
Click to set an appointment.

Like us on Facebook

SERVING:  Huntington NY, Suffolk County NY, Smithtown NY, Bayshore NY, Brentwood NY, Cold Spring Harbor NY , East Northport NY , East Setauket NY , Ellwood NY, Half Hallow Hills NY , Hauppauge NY, Islandia NY, Islip NY, Lloyd Neck NY, Melville NY, Northport NY, Syosset NY, West Islip NY, & Long Island.