Dr. Michele Kin Chiropractor - Acupuncturist Lawndale Drive Salama Office Salama Chiropractic Center of Lawndale Dr Greensboro, NC Logo
Office: 2608 Lawndale Drive In Greensboro, NC. Telephone: (336) 540-1040
Our Office Is In The 336 Area Code Of North Carolina
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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)
 
If this injury is related to an auto injury,
please use the form below.
Informatcion de Accidente
de Coche
(PDF Format)


(Adobe Acrobat Reader is required.)

Because You Haven't Got Time For The Pain!


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Salama Chiropractic Lawndale Drive Office
2608-A Lawndale Dr.
Greensboro, North Carolina 27407
Phone: 336-540-1040
Fax: 336-540-1041


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Greensboro, North Carolina (NC) Chiropractors - Oak Ridge & Winston-Salem.
 
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