New Patient Form

Please print out the applicable new patient paperwork forms below, fill them out, and
bring them with you to your first appointment.

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.

New Patient Welcome Form To be filled out by all new patients. (PDF Format)	New Patient History Intake-Form To be filled out by all new patients. (PDF Format)
If this injury is related to an auto injury, please use the form below. New Patient Auto Injury Questionaire (PDF Format)

(Adobe Acrobat Reader is required.)

Because You Haven't Got Time For The Pain!

Our Oak Ridge office is conveniently located to serve those from Summerfield, Stokesdale, Walnut Cove, Walkertown, Madison, Mayodan, Reidsville, Greensboro, Wentworth, Belews Creek, Belews Lake, Scalesville, Colfax,
Friendship, Bonanza Hills and surrounding areas.

Site Map

Salama Chiropractic Oak Ridge Office
1692 Nc Highway 68 N Ste. E
Oak Ridge, North Carolina 27310
Phone: 336-644-6446
Fax: 336-644-6442