Our immediate goal at Montvale Health & Wellness is to get you back on your way to better health.
To do this, we first need you to provide us with certain personal information so we can better diagnose and treat your current condition.
Please click on the Office Forms link on the left side of this page to have access to all of our forms.
Here you can click to open the designated form, print it on your computer, and fill it out prior to your office visit. You can either fax it back to us or simply bring it in on your first visit to our facility. This will greatly reduce your waiting time and help us better assist you when you arrive.
Please Note: The downloadable files for printing are in Portable Document Format (PDF). If you do not have PDF reader software installed on your computer you can download one free by clicking on the “Get Adobe Reader” icon above the forms.
As a multidisciplinary facility with a wide variety of health care providers, there is a variation in the provisions of each individual patient’s insurance plan. Patients are advised to request verification of their insurance coverage from us, which we will do without obligation. Your insurance plan is an agreement between you and your insurance carrier. We are not party to that contract. You are responsible to know your policy. However, we will assist in any way we can to obtain information from your insurance plan regarding coverage, co-pay or co-insurance obligations and deductible obligations so that you can make an informed decision regarding your care.
For additional information please ask to speak to one of our insurance specialists at 201-391-8282.
*Please call our front desk to confirm which forms you will need to complete: 201-730-4044.
Neuropathy Intake Forms
Chiropractic/Physical Therapy New Patient Intake Forms
Auto Accident Form (only if applicable)
Massage Therapy New Patient Intake Forms
Sport Podiatry Forms (Dr. Harris)
New Patient Paper work
Acupuncture (Dr. Lambert)
Acupuncture New Patient Intake Forms