Online Forms

We offer our paperwork on line so you can complete it in the convenience of your own home. 



Health History & Registration

This lets us know what’s happened, but perhaps more important, where do you want to take your health?

 Download & Print Form




Free AdobeReader®

Each form is a PDF document file.  If you do not already have AdobeReader® installed on your computer, click the Adobe® image to download for free.




Dr. Jason Villani & Dr. Chris DeLia
80 Pompton Avenue, 3rd Floor, Verona, NJ | (973) 857-1119

Subscribe to our Verona chiropractic newsletter Free Newsletter

Receive free professional health tips on topics that interest you.
 
 
Select Topics:
Backaches & Sciatica
Headaches & Neck Pain
Wellness Topics
Diet & Nutrition
Exercise & Fitness
Women's Health Issues
Children's Health Issues
Stress Management

Dr. Jay Asks some important questions of interest to Verona residents - Chiropractor Verona Dr. Jay Asks...

Where do most Verona residents get their first subluxation?
Being born in a hospital is a common source of subluxation. Trauma from forceps delivery has been replaced with drugs, vacuum extraction, Cesarean section and births that are "scheduled" to fit the workweek routines of Ob-Gyns. That's why we recommend a chiropractic checkup for every Verona newborn.
Are chiropractors just concerned with the spine?
Our interest in the spine is because it covers the major communications conduit between your brain and your body. As a Verona chiropractor my job is to locate areas (usually along the spine) that interfere with proper nerve communications to and from your brain. Chiropractic adjustments help restore nervous system integrity. In this way, chiropractic care can affect the function of your entire body.