1313 N. Elm St.
Greensboro, NC 27401
(Across from Moses Cone Hospital)
Phone: 336-379-0170
Mon, Tues and Thurs
9:00 am – 12:30 pm
2:30 pm – 5:30 pm
Wednesday and Friday
9:00 am – 12:30 pm
These forms are meant as a "head start" for your first appointment at Central Chiropractic. Please feel free to print them at home and fill them out before you come in, or we can provide the forms for you at our office. The Patient Questionnaire tells us who you are, what symptoms you currently have, and what your health history is. The Accidental Injury Questionnaire is intended only for those patients involved in a Personal Injury case (auto accident) or Workman's Compensation case. If you have any questions regarding these forms, please feel free to call us at 336-379-0170 so that we may assist you in completing them.