Meet Our licensed chiropractor of Greensboro Salama Chiropractic - Lawndale Lawndale Salama Chiropractic Center of Greensboro, NC
Greensboro North Carolina Salama Lawndale Office Telephone.
Our Office Is In The 336 Area Code Of North Carolina
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New Patient Forms

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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NON-AUTO INJURY PATIENTS Fill Out ONLY THE TWO FORMS

In The TOP "REGULAR PATIENTS" Section

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AUTO INJURY PATIENTS Fill Out ONLY THE THREE FORMS

In The BOTTOM "AUTO INJURY PATIENTS" Section

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ALL FORMS OPEN IN A NEW, SECURE BROWSER WINDOW

*** REGULAR PATIENTS ***

New Patient Welcome Form
To be filled out by all new R
egular Patients.
Form Opens In A New Browser Window

 

New Patient History Intake-Form
To be filled out by all new
Regular Patients.
Form Opens In A New Browser Window

 

*** AUTO INJURY PATIENTS ***

New Auto Accident Patient Welcome Form
To be filled out by all new Auto Injury patients
Form Opens In A New Browser Window

New Patient History Intake-Form
To be filled out by all new Auto Injury patients
Form Opens In A New Browser Window
 
New Patient Auto Injury Questionaire
To be filled out by all new Auto Injury patients
Form Opens In A New Browser Window
 

 

 


Because You Haven't Got Time For The Pain!


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Greensboro, North Carolina (NC) Chiropractors,
- Oak Ridge & Winston-Salem

 
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