Salama Chiropractic Center - New Patient Forms For All Greensboro, Oak Ridge & Winston-Salem Offices
Dr. Edward Boudreau Chiropractor Oak Ridge NC Office Dr. Michele Kin Chiropractor - Acupuncturist Lawndale Drive Office Dr. George Salama, Head Chiropractor Wendover Avenue Greensboro Office Based Dr. Nathan Weaver Chiropractor Wendover Avenue Greensboro Office Based
SSalama Chiropractic Center of Greensboro, Oak Ridge & Winston Salem, NC
Dr. Ninette Marsocci Chiropractor Winston Salem, NC Office
Office: 3410 West Wendover Avenue In Greensboro, NC. Telephone: (336) 274-3500 Office: 2608 Lawndale Drive In Greensboro, NC. Telephone: (336) 540-1040 Office: 1692 NC Highway 68 In Oak Ridge, NC. Telephone: (336) 644-6446 Office: 1515 Hanes Mall Blvd. In Winston-Salem, NC. Telephone: (336) 773-7373
Winston-salem north carolina office telephone. Our Offices Are In The 336 Area Code Of North Carolina
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New Patient Forms

Please print out the applicable new patient paperwork forms below, fill them out, and
bring them with you to your first appointment.

You will enjoy the time you save by taking care of it ahead of time.

Be sure to bring your insurance card with you, too.

New Patient Welcome Form
To be filled out by all new patients.
(PDF Format)

New Patient History Intake-Form
To be filled out by all new patients.
(PDF Format)
 
If this injury is related to an auto injury,
please use the form below.
New Patient Auto Injury
Questionaire
(PDF Format)
 


(Adobe Acrobat Reader is required.)


Because You Haven't Got Time For The Pain!

Site Map

Main Greensboro Office
3410 West Wendover Aveue Suite A
Greensboro, North Carolina 27407
Phone: 336-274-3500 / Fax: 336-292-1928

   
2608-A Lawndale Dr.
Greensboro, North Carolina 27407
Phone: 336-540-1040
Fax: 336-540-1041
  1692 NC Highway. 68 Ste. E
Oak Ridge, North Carolina 27310
Phone: 336-644-6446
Fax: 336-644-6442
  1515 Hanes Mall Blvd.
Winston-Salem, North Carolina 27103
Phone: 336-773-7373
Fax: 336-765-7006

© 2010 Salama Chiropractic
Greensboro, North Carolina (NC) Chiropractors,
- Oak Ridge & Winston-Salem


 
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