Call Us Today: 704-751-0024

Patient Forms

Just click to download the forms that you need.

Fill them out and bring them to the office with you to save you some time!

 

 

(click to download)

 

 

New Patient Form

(click to download)

 

 

Forma Para Pacientes Nuevos

(click to download) 

 

 

HIPPA Notice of Privacy Practice 

(click to download) 

 

 

Neck Disability Index Questionnaire 
(click to download)  Informed Consent Form

 

 

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Get In Touch

Phone: 704-751-0024

Fax: 704-751-1248

Email: primehealthchiropractic@yahoo.com

615 S. Dekalb Street, Suite B
Shelby, NC 28150

Our Location

Our Hours

Monday: 8am-12pm & 2pm-6pm

Tuesday: 8am-12pm & 2pm-6pm

Wednesday: 8am-12pm & 2pm-6pm

Thursday: 8am-12pm & 2pm-6pm

Friday: 8am-12pm & 2pm-6pm

Saturday: By Appointment Only

Sunday: Closed

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