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Salama-Chiropractic-Center-Wendover-Avenuw-Greenbroro-North-Carolina
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Telephone Wendover Avenue Salama Chiropractic Center of Greensboro, NC

336-274-3500

3410 West Wendover Aveue • Suite A
  Greensboro, North Carolina
 27407

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Appointments Available Monday through Saturday - Click for hours open.

New Patient Forms

Don't Live Life in Pain!

Please fill out the applicable new patient forms below.
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.
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REGULAR PATIENTS (Non-Auto Accident Patients) 
 Fill Out ONLY THE 2 FORMS In That Section Below.
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AUTO ACCIDENT PATIENTS 
 Fill Out ONLY THE 3 FORMS In That Section Below.


  ALL FORMS BELOW OPEN IN A NEW, SECURE BROWSER WINDOW

***Regular Patients (Non-Auto Injury Patients)***

Fill Out ONLY THE 2 FORMS BELOW


New Patient Welcome Form

To be filled out by all new Regular Patients.

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New Patient History Intake Form

To be filled out by all new Regular Patients.

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***Auto Injury Patients***

Fill Out ONLY THE 3 FORMS BELOW
New Patient Auto Injury Welcome Form

To be filled out by all new Auto Injury Patients.

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New Patient History Intake Form

To be filled out by all new Auto Injury Patients.

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New Patient Auto Accident Questionaire

To be filled out by all new Auto Injury Patients.

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Because You Haven't Got Time For The Pain!

Salama Chiropractic’s chiropractors treat patients from these greater Greensboro, North Carolina areas…

Salama Chiropractic Center On Wendover Avenue In Greensboro, North Carolina (NC)
© 2020 Salama Chiropractic