chiropractic forms for new patientsThe below forms are for new chiropractic patients and can be filled out online, printed and brought into our office during your first office visit or you can submit the forms on our website. If you have any questions, please feel free to contact us.


 

 



New Patient Registration Form

New Patient Vehicle Accident Form

Female Consent Form to X-ray

 

You can print out these Chiropractic forms and bring to our office in High Point on your first visit.  If you print out the forms, please arrive at least 15 minutes early for your initial visit.

 

 

 
 

Bailey Chiropractic Centre
2415 Penny Road, Suite 202
High Point, NC 27265
Phone: (336) 889-8584
Fax: (336) 889-7740

Chiropractor Hours

Monday - Thursday
7:00am - 11:00am
1:00 - 5:00pm

Friday
7am - 11:00am

Why Choose Us?

Most insurance carriers cover chiropractic care.  We will be happy to file your insurance for you.