New Patient Paperwork

If you are visiting our office for chiropractic care, please fill out the chiropractic paperwork. If your visit is for something other than chiropractic care, please complete the non-chiropractic paperwork. This would include weight-loss or nutritional counseling, detoxification, or natural solutions in helping with your diabetes.

If you have had any recently performed diagnostic tests such as X-rays, MRI, or bloodwork that deal with your current condition, please bring those with you to your appointment. If you've had tests done, but don't have copies, don't worry, we can have you sign a release of records at your first visit and get the results sent directly to our office. Essential Health offers our patient form(s) online so they can be completed in the convenience of your own home or office.

  • All forms are PDF files. You will need AdobeReader® to view them.
  • If you do not already have AdobeReader® installed on your computer,
    Click Here to download.
  • Download the necessary form(s), print them out and fill in the required information.
  • Bring the necessary form(s) to your appointment or fax them to our office.


9:30am - 12:30pm
2:30pm - 7:00pm

Consultations by Appt

9:30am - 12:30pm
2:30pm - 7:00pm

Consultations by Appt

9:30am - 12:30pm
2:30pm - 6:00pm

9:00am - 12:00pm

Essential Health

402 Coventry Drive
Phillipsburg, NJ 08865
Phone (908) 454-8808
Fax (908) 290-5035