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To Schedule An Appointment

Call 919.461.8400​

© 2016 by Bannard Family Chiropractic and Acupuncture. Created by TwoCan Group.

  For Chiropractic download forms below with a  

 

 

   * Chiropractic Registration and Health History | DOWNLOAD PAGE 1 / PAGE 2

 

   * Verification of non-pregnancy Form| DOWNLOAD

 

 

   *  Consent for Treatment of a Minor| DOWNLOAD

 

 

 *  Consent for Holistic Care| DOWNLOAD

 

 

  * Notice of Privacy Acknowledgement| DOWNLOAD

___________________________________________________________________

 

 

BioScan New Patient Package | DOWNLOAD

 

 

Consent for BioScanSRT Wellness System| DOWNLOAD

 

 

Metabolic Assessment Form| DOWNLOAD

 

 

NTAF Health Questionnaire| DOWNLOAD

 

 

Affirmation | DOWNLOAD

 

 

Child Neurotransmitter & Nutrition Questionnaire | DOWNLOAD

 

 

Massage Patient Forms //  NO MASSAGE AT THIS TIME 

Groupon Agreement | DOWNLOAD

 

 

Consent to Massage Therapy Treatment Form | DOWNLOAD

 

 

Massage Patient Health History Form | DOWNLOAD

 

 

FAQs //

Why do you post these forms online?

 

We know you lead a busy life! That's why we provide these forms online. This way, you can print them out and complete them before your appointment when it fits your schedule! We like to keep things moving smoothly and give our patients the care they need when they show up at the office. We appreciate you taking the time to fill these out in advance!

Why do you need health history for a massage?

 

Massages affect your whole-body health. Chronic pain or injuries most certainly can come up during a massage- so letting your massage therapist know what you've been through allows them to give you the best care possible. We aren't trying to be sneaky, we just want to make sure your treatment is as personalized as possible!

Why do I need to sign so many consent forms?

 

The body is a complicated, beautiful thing! This also means that sometimes, treatments that work well for some people don't work as well for others. Your practitioner will tell you all the ins and outs of your chosen procedure, and the consent forms are there to protect you- by signing, you're telling us that we've done a good job explaining and you agree to the procedure.