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Dr. Russell D. Caram Chiropractic Physician

182 GRASSY PLAIN ST. (RT 53), BETHEL CT. (203) 748-2499

Patient Forms

For all new patients, please print out and complete forms #1, 2 and 3 below and bring them with you on your first visit.

1) New Patient Information

2) Health History

3) Symptom Survey

If your visit is the result of an auto accident, please add this form…

4) Auto Accident Information

If your visit is from a work-related injury and a claim has been filed with your employer, please add this form…

5) Work Injury Information

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Hours and Directions

182 Grassy Plain St.
Bethel, CT. 06801
_________________________
(203) 748-2499
drcaram4@yahoo.com
MONDAY 8:00 am - 12pm; 2:30pm - 6pm
WEDNESDAY 8 am - 12pm; 2:30pm - 6pm
FRIDAY 8 am - 12pm; 2:30pm - 6pm
SATURDAY 9am - 12 noon
_________________________
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