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New Patient Forms
Bring in your printed and completed forms to expedite your office visit. The following forms and useful documents are in Adobe Acrobat; they require the free Acrobat Reader to view. Click on each to download and view.
 
  Chiropractor Patients—Required Forms
Patient Case History Form
X-Ray Consent Form
Lien Authorization Form
Appointment Reminder Form
Patient Care Guidelines
Please fax a copy of your insurance card with your D.O.B. to 704.799.0935
   
  Naturopathic Patients—Required Forms
Available soon
   
  Special Circumstances
Advance Benefiary Notice 1 (Medicare Only)
Advance Benefiary Notice 2 (Medicare Only)
Minor Consent
Auto Accidents Form
Workers Comp Form
 
Your privacy is important to us. All information received in the above forms and through other communications is subject to our Patient Privacy Policy.
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