A MESSAGE TO OUR PATIENTS REGARDING COVID-19
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A MESSAGE TO OUR PATIENTS REGARDING COVID-19
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Home
About
Our Doctors
Conditions
Back & Spine
Neck
Shoulder, Elbow, Hands & Wrists
Knee
Hip, Foot & Ankle
Sports Injuries
Other Conditions
Services
Sports Medicine
Interventional Spine & Pain
Physical Therapy
Electrodiagnostic Medicine
Podiatry
Medical Massage
Alter G Anti-Gravity Treadmill
Acupuncture
Awards
Reviews and Testimonials
Locations
Financial District, NYC
Greenwich Village, NYC
Midtown, NYC
Midtown East NYC
Paramus, NJ
Riverdale, NJ
Englewood Cliffs, NJ
Cranford, NJ
East Brunswick, NJ
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Pain Assessment Tool
Tell Us About Your Pain
Where Does It Hurt?*
Choose all that apply:
Where does it hurt?*
Lower Back
Middle Back
Neck
Shoulders
Arms
Buttocks
Legs
Other
Where Is the Pain Strongest?*
Where Is The Pain Strongest?*
Lower Back
Middle Back
Neck
Shoulders
Arms
Buttocks
Legs
Other
How Long Have You Been Experiencing Pain? *
How Long Have You Been Experiencing Pain? *
1 month or Less
1-6 months
7-12 months
1 year or more
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Next
Describe Your Pain for Us
How would you describe your pain?
Choose all that apply:
How would you describe your pain?
Sharp
Burning
Cramping
Throbbing
Quick Jolts of Pain
Dull/Achy
Stiffness
Are you always in pain?*
Are you always in pain?*
Yes, I am in constant pain that worsens depending on what activity I am doing.
No, it comes and goes depending on what activity I am doing.
Do you have any of the following Symptoms?
Do you have any of the following Symptoms?
Pins and Needles Feeling
Numbness
Tingling Sensations
Progressing Weakness
Loss of Coordination
None
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Tell Us About Your Past Treatment
Have you undergone any of the following?
Choose all that apply:
Have you ever undergone any of the following?
CT Scan
MRI
X-Ray
Nerve Conduction Study
Other (Please Explain)
None
Other Explanation
Other Explanation
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What’s your insurance plan?*
Choose all that apply:
What’s your insurance plan?*
If other, please tell us about your insurance plan:
If other, please tell us about your insurance plan:
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First Name
Last Name
Email
Phone
Best time to call
Best time to call
Morning
Noon
Evening
Comment
Previous
Click to submit & we will follow-up with results
Financial District, NY
65 Broadway
Suite 1605
New York, NY 10006
Greenwich Village, NY
41 Fifth Avenue
Suite 1C
New York, NY 10003
Midtown, NY
56 West 45th Street
11th Floor
New York, NY 10036
East Brunswick, NJ
620 Cranbury Road
East Brunswick,
NJ 08816
Paramus, NJ
140 Route 17 North
Suite 101
Paramus, NJ 07652
Englewood Cliffs, NJ
140 Sylvan Ave
Suite 101B
Englewood Cliffs, NJ 07632
Riverdale, NJ
44 Route 23 North
Suite 15B
Riverdale, NJ 07457
Cranford, NJ
216 North Ave E
Cranford, NJ, 07016
Financial District, NY
65 Broadway
Suite 1605
New York, NY 10006
Greenwich Village, NY
41 Fifth Avenue
Suite 1C
New York, NY 10003
Midtown, NY
56 West 45th Street
11th Floor
New York, NY 10036
Paramus, NJ
140 Route 17 North
Suite 101
Paramus, NJ 07652
Englewood Cliffs, NJ
140 Sylvan Ave
Suite 101B
Englewood Cliffs, NJ 07632
Riverdale, NJ
44 Route 23 North
Suite 15B
Riverdale, NJ 07457
Cranford, NJ
216 North Ave E
Cranford, NJ, 07016
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