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Practice Name

Potash Chiropractic

Social Media
Primary Location
811 Washington Rd.
Sayreville, NJ 08859
Phone: 732-238-1883
Fax: 732-238-1890

Office Hours

DayMorningAfternoon
Monday9:00 - 12:004:00 - 7:00
Tuesday-4:00 - 7:00
Wednesday9:00 - 12:004:00 - 7:00
ThursdayClosedClosed
Friday9:00 - 12:004:00 - 6:00
Saturday10:00 - 12:00Closed
SundayClosedClosed
Main Content

Potash 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!

Download & Print Form


Vehicle Accident Forms

Download & Print Form


Member Wellness Registration Form - Optional

This form can be filled out to register for access to the member wellness section of our website. You can also sign up for our monthly newsletter to keep up on current health issues and news and events in our office. You can print it out and bring it in to our office or Click Here to register online! The online newsletter sign-up is also on the right. We look forward to making your experience with our office and website more interactive and rewarding!

Download & Print Form



Download the Free AdobeReader®

Exclusive Offer

NEW PATIENT Special!

Click below for details!

Click Here

Featured Services

Services We strive to provide complete care for our patients. Learn more about all the services we provide. Make An Appointment We will do our best to accommodate your busy schedule. Schedule an appointment today! Online Forms Our patient forms are available online so they can be completed in the convenience of your own home or office.

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Office Hours

DayMorningAfternoon
Monday9:00 - 12:004:00 - 7:00
Tuesday-4:00 - 7:00
Wednesday9:00 - 12:004:00 - 7:00
ThursdayClosedClosed
Friday9:00 - 12:004:00 - 6:00
Saturday10:00 - 12:00Closed
SundayClosedClosed
Day Morning Afternoon
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
9:00 - 12:00 - 9:00 - 12:00 Closed 9:00 - 12:00 10:00 - 12:00 Closed
4:00 - 7:00 4:00 - 7:00 4:00 - 7:00 Closed 4:00 - 6:00 Closed Closed

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