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Practice Name

Kura Chiropractic

Social Media
Primary Location
139 Fulton Street
Suite 136
New York, NY 10038
Phone: 212-349-9500
Fax: 212-349-9501

Office Hours

Day
Monday10:00am7:00pm
Tuesday11:00am7:00pm
Wednesday11:00am7:00pm
Thursday11:00am7:00pm
Friday11:00am7:00pm
SaturdayClosedClosed
SundayClosedClosed
Main Content

The First Step For New Patients is Evaluation

We need to know your condition and what discomforts you are experiencing so that we may treat you with the proper therapies.

The new patient evaluation starts with filling out a form, and then a meeting with the doctor. The doctor will conduct various tests to ascertain soreness, sensitivity, and range of motion.

The doctor will also discuss some of your responses on this form.

All new patients are required to fill out this form prior to examination. Online completion of the form will eliminate the need to do so in our waiting room on your first visit.

Please complete this form so that we can provide you the best possible wellness care.

The doctor will review your information during your initial visit and discuss your responses.

This form is required and will help ensure that none of your symptoms are overlooked.

Your responses on this online form are encrypted, and safe from view by anyone but the doctor.

Patient Data

Mailing Address

Current Complaints

Nature of Injury

Insurance Information

*If an auto accident, please provide:

Signatures

Name of the Insured _____________________________________________

I understand and agree that health/accident insurance policies are an arrangement between an insurance carrier and myself. I understand and agree that all services rendered to me and charged are my personal responsibility for timely payment. I understand that if I suspend or terminate my care/treatment, any fees for professional services rendered to me will be immediately due and payable.

Patient's signature _______________________________________________

Date ____________________

Spouse's or guardian's signature __________________________________

Date ____________________

Medical History

Have you ever:

Family History

Habits

Have you ever suffered from:

Chiropractic & Wellness Services - Downtown NYC - Between Financial District & WTC Site

Chiropractic & Wellness Services in Downtown NYC Conveniently Located on
Fulton Street
across from the
Fulton Street Subway Station
Between
Nassau St. & Broadway
near the
Financial District
&
WTC Site

Our Services

We Are Moving April 1, 2017

New Office Conveniently Located on

Fulton Street
across from the
Fulton Street Subway Station
Between
Nassau St. & Broadway
near the
Financial District
&
WTC Site

Details


Schedule Appointments with Dr. Fredman 

We strive to provide complete care for our patients. Learn more about all the services we provide.

View Services
Incredible Spinning Man

Will show you what parts of your body are affected by the various sections of your spine.

 
Launch
 3D Spine Simulator

Kura Chiropractic is proud to be a sponsor of
NY Cosmos Soccer

Testimonial

Thanks to your treatments and exercise protocols, this 70 year old body was successful in my recent tennis tournaments, international and local.

- A.F. / New York, NY

Office Hours

Day
Monday10:00am7:00pm
Tuesday11:00am7:00pm
Wednesday11:00am7:00pm
Thursday11:00am7:00pm
Friday11:00am7:00pm
SaturdayClosedClosed
SundayClosedClosed

Convenient Downtown NYC Location

139 Fulton Street, Suite 136
New York, NY 10038

Contact

Kura Chiropractic
139 Fulton Street
Suite 136

New York, NY 10038
Get Directions
  • Phone: 212-349-9500
  • Fax: 212-349-9501
  • Email Us
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