Online Forms

Dr. Goodstein offers online patient forms so they can be completed in the convenience of your own home or office, saving you time at your appointment.

  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.

New Patient Health History Form - Required

Save time on your first visit by completing this online Health History Form. After answering all the questions, just print it and bring it with you to the office.

Download & Print Health History Form 

Insurance Verification Form

Print this form to find out if you have Chiropractic insurance benefits. Call your insurance carrier and complete it as you speak with a representative. Bring this form with you on your next visit with Dr. Goodstein. 

Download & Print Form

Download the Free AdobeReader®

Dr. Steven Goodstein, Chiropractor


445 N State Rd,
Briarcliff Manor, NY 10510

Office Hours


9:00 am - 12:00 pm




3:00 pm - 6:00 pm


9:00 am - 12:00 pm


9:00 am - 1:00 pm


9:30 am - 12:00 pm



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Please do not submit any Protected Health Information (PHI).