New Patient Paperwork
Creech Chiropractic offers our patient form(s) online so they can be completed in the convenience of your own home or office.
- Some forms are PDF files. You will need AdobeReader® to view them.
- If you do not already have AdobeReader® installed on your computer,
Click Here to download. - Download the necessary form(s), print them out and fill in the required information.
- Bring the necessary form(s) to your appointment.
- Prior to your appointment, please select the appropriate link below to complete and submit the new patient forms.
- The following link is provided for your convenience in filling out your forms:
Patient Intake Form
Click to Complete
Pediatric Intake Form
Click to Complete
Formulario en español
Click to Complete
HIPPA Appointment Reminders Form
Click to Download
HIPPA Consent for Disclosure Form
Click to Download
Informed Consent Form
Click to Download
Insurance Disclaimer
Click to Download
Pediatric - Consent to Treat a Minor
Click to Download
Pediatric - Informed Consent Form
Click to Download
Personal Injury - Office Policy
Click to Download
Personal Injury - Notice of Lien
Click to Download
Monday
8:10am - 12:30pm
1:30pm - 6:00pm
Tuesday*
8:10am - 1:00pm
Wednesday
8:10am - 12:30pm
1:30pm - 6:00pm
Thursday*
12:00pm - 6:00pm
Friday
8:10am - 12:30pm
1:30pm - 5:00pm
Saturday & Sunday
Closed
Creech Chiropractic
800 W Williams St #201
Apex, NC 27502
P: (919) 367-2828
F: (919) 367-2822
office@creechchiropractic.com