New Patient Paperwork

Creech Chiropractic offers our patient form(s) online so they can be completed in the convenience of your own home or office.

  • Some forms are PDF files. You will need AdobeReader® to view them.
  • If you do not already have AdobeReader® installed on your computer,
    Click Here to download.
  • Download the necessary form(s), print them out and fill in the required information.
  • Bring the necessary form(s) to your appointment.
  • Prior to your appointment, please select the appropriate link below to complete and submit the new patient forms.
  • The following link is provided for your convenience in filling out your forms:
  • Patient Intake Form

    Click to Complete

  • Pediatric Intake Form

    Click to Complete

  • Formulario en español

    Click to Complete

  • HIPPA Appointment Reminders Form

    Click to Download

  • HIPPA Consent for Disclosure Form

    Click to Download

  • Informed Consent Form

    Click to Download

  • Insurance Disclaimer

    Click to Download

  • Pediatric - Consent to Treat a Minor

    Click to Download

  • Pediatric - Informed Consent Form

    Click to Download

  • Personal Injury - Office Policy

    Click to Download

  • Personal Injury - Notice of Lien

    Click to Download

Monday
8:15am - 12:00pm
1:30pm - 5:30pm


Tuesday*
8:15am - 12:00pm


Wednesday
8:15am - 12:00pm
1:30pm - 5:30pm


Thursday*
1:30pm - 5:30pm


Friday
8:15am - 12:00pm
1:30pm - 5:00pm


Saturday & Sunday
Closed

Creech Chiropractic

800 W Williams St #201
Apex, NC 27502

(919) 367-2828