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Miniaci Chiropractic & Acupuncture Center, LLC offers our patient forms online so they can be completed in the convenience of your own home or office, before you even arrive to our chiropractic office.

  • 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.

No Health Insurance

Download & Print Form

Standard Medical Insurance

Download & Print Form

Workers Comp

Download & Print Form

Motor Vehicle Accident

Download & Print Form

Slip & Fall Accident

Download & Print Form


Download & Print Form

Former Patient Within 1 year

Download & Print Form

Download the Free AdobeReader®

THIS ---->https://miniacichirocom.chiromatrixbase.com/online-forms.html

Office Hours

Monday8:30 AM- 1:15 PM2:30 PM - 7: 00 PM
TuesdayClosed12:00 PM - 6:00 PM
Wednesday8:30 AM - 1:15 PM2:30 PM - 7:00 PM
ThursdayClosed2:00 PM - 6:00 PM
Friday8:30 AM - 1:15 PM2:30 PM - 7:00 PM
Day Morning Afternoon
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
8:30 AM- 1:15 PM Closed 8:30 AM - 1:15 PM Closed 8:30 AM - 1:15 PM Closed Closed
2:30 PM - 7: 00 PM 12:00 PM - 6:00 PM 2:30 PM - 7:00 PM 2:00 PM - 6:00 PM 2:30 PM - 7:00 PM Closed Closed


I have been a patient of Dr. MiniacI for over 15 years and while I am currently on a maintenence schedule, it is always a visit I look forward to, and one that never fails to bring relief.

Michael P.
East Haven, CT

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