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Online Forms

Coombs Chiropractic offers our patient form(s) online so they can be completed it in the convenience of your own home or 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.

New Patient Health History Form - Required

This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

New Patient Form

New Patient Pediatric Form

New Patient Pregnancy Form 

Please be advised that due to our policy, we require a credit/debit card on file in the event of a New Patient Exam cancellation of less than 24 hours. Your card will not be charged at any time other than the event of a cancellation of less than 24 hours. Our cancellation fee is $100; this will not be covered by your insurance company.



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Location

2424 Bridge Ave. Suite 3 Point Pleasant, NJ 08742

Office Hours

Our Regular Schedule

Monday:

8:30 am-12:00 pm

2:30 pm-6:30 pm

Tuesday:

8:30 am-12:00 pm

2:30 pm-6:30 pm

Wednesday:

Closed

2:30 pm-6:30 pm

Thursday:

8:30 am-12:00 pm

2:30 pm-6:30 pm

Friday:

Closed

Closed

Saturday:

Closed

Closed

Sunday:

Closed

Closed

Testimonials

Reviews By Our Satisfied Patients

  • ""I thank Dr. Rob and his staff for giving me the ability to enjoy my 3rd pregnancy and helping me achieve a natural delivery. Thank you for all of the encouragement, knowledge, and care you provided me throughout the months. ""
    - Liz