Creech Chiropractic

Peakway Market Square

800 W. Williams St.,

Suite 201

Apex, NC 27502

 

Welcome to Creech Chiropractic, where you and your family will receive the best care available!

To better serve you and your family, simply download forms 1, 3, 4 and 6 for adults and 2, 3, 4, 5, & 6 for children 17 and under, fill them out, and bring them in on your first visit.

For your convenience, our forms are available for download in either DOC (MS Word) or PDF (Adobe Acrobat) formats.

1.  Confidential Patient Information - Adult

2.  Confidential Patient Information - Pediatric

MS Word

MS Word

PDF

PDF

3.  Patient Health Conditions

MS Word

PDF

4.  Consent for Disclosure

MS Word

PDF

5.  Consent to Treatment of Minor Child

MS Word

PDF

6.  Appointment Reminders & Health Care

     Information Authorization

MS Word

PDF

The following website links are provided for your convenience in filling out your forms.

Microsoft Reader (Free)

PDF Reader