Patient Forms
To help make your first visit as smooth and efficient as possible, we encourage patients to complete any necessary forms prior to their appointment. Completing your paperwork in advance allows our team to better understand your condition and prepare for your visit.
Schedule An Appointment
Helping You Move Better, Feel Better, and Live Better - Without Surgery.
Click here to download form!
Patient Intake Form
Real Patients. Real Results.
Take the First Step Toward Relief
Fill out the form and our team will reach out to schedule your no-charge screening and answer any questions you may have. We’ll help you understand your condition and the options available to you.
Phone: 516-882-6337Email: dryelling@restoreintegratedmedical.com
Address: 747 N. Broadway
Massapequa, NY 11758
Office Hours:
Monday – Thursday: 9:00 am – 7:00 pm
Friday – Sunday: Closed
Monday – Thursday: 9:00 am – 7:00 pm
Friday – Sunday: Closed
