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Online Forms

Bound Brook Chiropractic Center PA Dr. James L. Winters 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 and other required forms

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!


BBCC New Patient Form

Chiropractic Informed Consent to Treat

Arbitration Agreement

Assignment of Benefits

Terms of Acceptance

Privacy Practices



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Location

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Office Hours

Our Regular Schedule

Monday:

9:00 am - 12:00 pm

3:00 pm - 7:00 pm

Tuesday:

Closed

Closed

Wednesday:

9:00 am - 12:00 pm

3:00 pm - 7:00 pm

Thursday:

Closed

Closed

Friday:

9:00 am - 12:00 pm

3:00 pm - 7:00 pm

Saturday:

9:00 am - 11:00 am

Closed

Sunday:

Closed

Closed

Testimonial

Reviews By Our Satisfied Patients

  • "I would like to thank you for your help with my vertigo problem. After so many months and so many doctors, I was really ready to stop trying to find relief. My husband, Ed Johnson, has so much faith in your work, that he convinced me to see you.

    As you remember, I was reluctant to begin, and unsure of the scope and purpose of laser treatment. It did make sense to me that the problem could have been initiated in the back of my neck. The previous physical therapist seemed to be focusing there.
    After concluding treatment with you, I became aware of a decrease in the episodes of vertigo. In June, I experienced only four or five "bad days". It has now been three weeks since I have had any dizziness at all. It may be over!"
    Mary L. Johnson