Request an Appointment

Priestley Chiropractic
81 Conklin Street
Farmingdale, NY 11735
516-752-1007
walter@priestleychiro.com
*Indicates a Required Field

Please view our office hours and then fill in the following form to request an appointment. You will receive a confirmation call to verify, before any appointment is scheduled.

*First Name
*Last Name
*Phone

Format XXX-XXX-XXXX
*Email Address


Date and Hour for Requested Appointment

*Select Hour *AM/PM

*Please tell us if you are a current patient, or are requesting to become a new patient.
I am a current patient at your office
I am looking to make an appointment to become a new patient


Optional Short Comments or Message



NOTE: You do not have a scheduled appointment until we can call you and verify this appointment request.

               

Monday

10 AM - 1 PM 
3 PM - 6:30 PM

Tuesday
 4 PM - 6:30 PM
 
Wednesday

 10 AM - 1 PM 
3 PM - 6:30 PM

Thursday
4 PM - 6:30 PM
 
Friday

 10 AM - 1 PM
3 PM - 6 PM

Saturday
 9 AM - 12 PM
 
Sunday
CLOSED



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