| Lawrence Ruck, D.C. 1 Neperan Rd. #205 Tarrytown, New York 10591 Phone 914-844-7712 Fax 914-909-4453 email: drruck@ruckspineandsports.com |
| Hours: M, T, W 9:00-6:00 Th 9-4, F 9-2, by appointment Saturday 8:30-12:30, by appointment |
| PATIENT INTAKE FORM (pdf format) |

