Online Forms
Dr. Adam C. Massoud offers our patient form(s) online so you can complete 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 let’s us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!
Acknowledgment of Privacy Practices Form
Informed Consent Form
Insurance Form
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Dr. Adam Massoud has been freeing people from pain at Greenwich Wellness in Riverside, CT, with a combination of chiropractic, nutrition, massage therapy, and rehabilitative exercise. As an experienced Chiropractic Physician he is committed to promoting the health and well being of his patients.