ACADEMY STREET

CHIROPRACTIC

8511 Chapel Hill Rd.

Cary, NC

919-461-3933

Dr. Debra Bell

Dr. LaTanya Simpson

Dr. Emily Griffith

 

Forms

Meet Dr. Bell

 

Meet Dr. Simpson

 

Meet Dr. Griffith

 

Can Chiropractic Help Me?

 

Your First Visit

 

Office Hours

 

Forms

 

FAQs

 

Massage Therapy

 

Kids and Chiropractic

 

Sports Injuries

 

Auto Accidents

 

Insurance and Billing

 

Testimonials

 

Seminars

 

Links

 

Home

 


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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