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ACADEMY STREET CHIROPRACTIC 8511 Chapel Hill Rd. Cary, NC 919-461-3933
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Dr. Debra Bell |
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Forms |
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Want to make your first visit go a little smoother?
Print these forms ahead of time, and complete them at home before you come in. You'll need Adobe Reader to open these files. You can get it free, here.
Patient Information Form - The Patient Information Form is for all patients age 16 and over.
Pediatrics Form - The Pediatrics Form is for all patients under 16.
Accident History Form - The Accident History Form is for all patients coming in as a result of injuries sustained in an automobile accident.
Three Insurance Form - The Three Insurance Form is also for patients coming in from an automobile accident.
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