Office Forms

Online No-Fault and Workers Comp Forms

To Provide and Smoother and Streamlined Experience

We provide patient forms online so you don’t have to fill them out in the office.

Please print the appropriate form applicable to the purpose of your visit with our office. If you have any questions regarding which form to select please contact our office at 631-249-0011, extension 5 and speak to our office manager for further assistance.

Picture of a person filling out a form to receive work injury treatment on Logn Island, NY

Printable Documents

Feel free to select and print out the proper documents prior to your appointment

Car Accident Injury

No-Fault Insurance Paperwork

Click Here

Work Accident Injury

Workers Compensation Paperwork

Click Here

Private Insurance

Cash or Private Insurance Paperwork

Click Here

MISC Forms and Docs

All Other Forms and Documents

Click Here

OUR DOCTORs

To Provide Comprehensive Quality Care

Dr. Thomas E. Dow

Chiropractor

Dr. Gabriel E. Padilla

Chiropractor

Dr. Michael Minond

Chiropractor

Dr. Roland Dela Serna

Physical Therapist

Dr. Thomas F. Dow

Chiropractor

Dr. Howard C. Green

Chiropractor

Dr. Richard G. Lendino

Chiropractor

Dr. Roland Dela Serna

Physical Therapist

What Our Patients Say

Just a few of our reviews to share

Dr. Dow is an amazing chiropractor, he was able to figure out reasons why my knees were hurting that no one else had. His recommendations made a huge difference, my knee pain was decreased immediately just by wearing orthotics. In addition, last year I was in a car accident and the next day I was in a lot of pain. I called Dr. Dow and he was able to see me the same day. He helped me get proper testing to determine the type of damage the accident caused. His adjustments relieved the intense pain I was in and has helped me get better. The best part about Dr. Dow is that he genuinely cares about helping his patients. Thank you, Dr. Dow, your help is highly appreciated!!

Ana A.

Injured Patient

have been seeing Dr. Dow for 8 months due to a car accident as a passenger. He came recommended and I’m very glad for it. With a quick turnaround he was able to take x-rays and prescribe MRI’s in order to best come up with a recovery plan. Over the months I have seen vast improvements. He’s very knowledgable and able to explain issues that is easy to understand.

Giancarlo R.

Injured Patient

I was rear ended in a car accident and tried other physical therapy offices that didn’t do ANYTHING for me at all. I switched attorneys and thank God I was referred to Suffolk Physical Therapy & Chiropractic in Islandia. Dr. Dow and Dr. Green were very caring on our fist appointment. They when above and beyond for my mom and I. They even did X-Rays, nerve exams and a bunch of other exams the SAME DAY and stayed after hours just to see all the injuries we sustained so they can start the appropriate treatment the next day.

Jennifer G.

Injured Patient