Appointments

To schedule an appointment at The Chiari Institute, please follow these steps:

1. Print the following forms:
    
   • Questionnaire
   • Tethered Cord Syndrome Screening Tool
      
2. Fill them out
    
3. Mail them to TCI at:
   
         865 Northern Boulevard
         Suite 302
         Great Neck, NY 11021
         USA

* Please write "New Patient Info enclosed" on the envelope.

* Be sure to include a copy of your insurance card(s) with the questionnaire.

Please note: These documents are in Adobe® PDF format. They require Adobe Reader to be viewed. If you do not have Adobe Reader, you can download it for free by clicking here.

Coming Soon

These forms will soon be available for you to fill out directly on our website and email to us.

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