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Family Chiropractors of Montclair
Dr. Jayne & Luis Mizraji

Online Forms

Family Chiropractors of Montclair offers our patient forms online so they can be completed in the convenience of your own home or office, before you even arrive to our chiropractic office.
  • 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 lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

Patient Update Forms

Auto Accident Intake Forms

Pediatric History Form

Submit Forms Here

Please do not submit any Protected Health Information (PHI).

Location

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Office Hours

Our regular schedule
Monday:
07:00 am - 05:00 pm
Tuesday:
08:00 am - 12:00 pm
Wednesday:
07:00 am - 05:00 pm
Thursday:
Closed
Friday:
07:00 am - 05:00 pm
Saturday:
07:00 am - 12:00 pm
Sunday:
Emergency Only
CONTACT US TODAY
We look forward to hearing from you
Please do not submit any Protected Health Information (PHI).
Testimonials
Reviews By Our Satisfied Clients
"Life would not be the same without Dr. Jayne! In addition to being the loveliest and most caring person, she's an extraordinary chiropractor. She truly has healing hands, an incredible knowledge of the body (MY body!), an uncanny gift for knowing exactly what the issue is right away, and then correcting it effectively. I always know I can rely on her to correct my neck and back issues when they arise, sometimes just after one visit. And Dr. Lou and Jayne's staff are wonderful - kind and patient, and always extremely helpful. I wouldn't go anywhere else."
Beth B
"Dr Jayne and Dr Lou are both amazing! They offer not just great care, but a warm, welcoming atmosphere— truly family friendly! They go above and beyond and truly care about the whole patient, well beyond chiropractic care. Dr Jayne has offered amazing support and solace through my journey as a new mom and I will always be grateful!"
Katherine G.
"Absolutely amazing ! First, the staff was very friendly. I am 8 months pregnant and I've had a lot of back/shoulder pain, and the doctor Jayne was very friendly and professional. You can tell she know what she's doing. She did an amazing job, when I got up from the chair I felt like I was 10 years old again ! My pain was completely gone. I am so happy I have found that place !"
Manon J S.
"I've seen a whole bunch of chiropractors and Lou and Jayne are the best, by far. They're also two of the sweetest people I know."

Scott C.
"I have no words to express my gratitude for Dr. Jayne. I was looking for a Webster Technique chiropractor during my pregnancy and I am so happy I found her. Thanks to her treatments we were able to turn the baby in optimal position and avoid any kind of medical interventions during delivery. But most of all, I valued her precious advice and physical and emotional support during before and after my baby was born. The most beautiful moment of all was giving my son his very first adjustment when he was only couple of days old. I definitely recommend her and her team!"
Marija R.
"Dr Lou and Dr Jayne are fantastic. They've put my spine back in line and are always the nicest people to work with."

Gerry G
"Friendly and welcoming. I enjoy my visits here as they are short and sweet, and really contribute overall health. Twice a week was all I needed and it has changed my world."
Carlos C
"Dr. Lou has taken care of me for close to 20 years. ALWAYS spot on and just an amazing staff. Thank you for all you do."
Marc W
"For two days I have been dealing with that ache in my bicep and having to stretch my hand and it constantly cracking...within minutes of leaving your office from my adjustment my ache is gone and no need to stretch the hand and when I did no cracking. Magic Hands I tell ya!!"
Janice Bowman
"I highly recommend Family Chiropractors for all you health needs ..... From a tune up to a serious issue they will bring you back to the road of recovery ..... They are knowledgable and listen to your needs and concerns ..... I have gone to Dr Lou for over 10 years and I will tell you as a runnner and a yogi you can not find someone better or more caring ... Give them a try ... I believe you will be glad you did and so will your body."
Thomas Randazzo
"It's miraculous how they make me feel better so quickly!"
Richard Reiter
"Drs. Lou and Jayne are the best. Wonderful with even the very youngest children and babies, all the way to folks in later life. Friendly, personable, and strong at what they do -- each with his or her own style. Great to have appointments with both of them! They also have things like a water massage table, which is a wonderfully relaxing mini-escape, and laser treatments for things like carpal tunnel. They are also a gay-friendly business, which encourages me to refer more folks to them."
Elizabeth Schroeder
"Love that place"
Joe V