Patient Intake Forms

 

We are happy to report that our office is virtually paperless. Please compete our online intake paperwork and be sure to arrive 10-15 minutes early for your first visit.

If you are suffering from a work or auto injury, please be sure to notify us and be prepared to provide the necessary information.

intake form button

Please also ensure that you bring your insurance card and personal identification (drivers license or passport) to your first visit.

Do not hesitate to contact the office if you have any questions regarding your coverage. We participate in-network with most insurance companies.

Have A Question About Being a New Patient? 203-792-4476

  • Intake Forms

    Download and Print our intake forms.

  • My First Visit

    What to expect at your first visit.

  • Payment Options

    Affordable care for everyone.

  • Gallery

    Photos of Hartsburg Chiropractic

Patient Reviews

Andrew H


Before seeing Dr. Matt, I would throw my back out every 6 months or so. All I would need to do is step wrong, pick up something incorrectly, or sneeze too hard, and that would be it. On top of that. my back and neck would constantly be aching. Since I starting going to Dr. Matt not only has the achiness almost totally gone away, but I have not thrown my back out at all--and there have been times when I know that I would have if I wasn't going to him regularly. I recommend him to anyone I know who has join/muscle problems and wants to feel better.

Donna D

Dr. Matt Rocks!!! He's the only dr. that I have seen (and I've seen my fair share of drs.) that has been able to keep me competing in my triathlons with no real injuries. I had knee surgery 2 1/2 years ago and the pain keeps coming back, but Dr. Matt is able to work his magic and keeps me running! Thank you Dr. Matt!

Nick F

I have been a patient of Dr. Hartsburg for over a year now. His high level of content knowledge in terms of the human body and physiological responses to training is immense. Dr. Hartsburg has also worked with me on several physical issues that I have run into over the last year plus with great responses. Keep up the great work!

Rose D

After having whiplash from a car accident, neck problems, back problems etc. Dr. Matt is the only doctor that has made me feel better. For over 5 yrs of seeing specialists with no relief, I was introducted the Dr. Matt. And Thank God. As a golf instructor I need my body to be in some decent shape....after just a few visits, Dr. Matt got me better than that, I Feel Great. Thanks.

Please publish modules in offcanvas position.

© 2026 ChiroBuilt. All Rights Reserved.