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Select your doctor's name below to navigate to their forms required for your first visit to the practice. To save time, please fill out forms and bring them with you to your appointment.

Dr. Armstrong Dr. Baldy Dr. Case-Luca Dr. Ferez Dr. Houfek
Dr. Krasnov Dr. Presas Dr. Ransone Dr. Redd Dr. Rubin
Dr. Schmid Dr. J. Smith Dr. S. Smith Dr. Wallace

Dr. Armstrong

Patient History Form

Health History Form

Chief Complaint Form


Dr. Baldy

Submit Form Online


Dr. Case-Luca

Submit Form Online


Dr. Ferez

Initial Consultation Form

Personal Health History Form

Neck Index Form

Back Index Form


Dr. Houfek

Submit Form Online


Dr. Krasnov

New Patient Forms

Work Injury Form

Personal Injury Form


Dr. Presas

New Patient Forms

Personal Injury Form

Work Injury Form


Dr. Ransone

New Patient Intake Form

Assignment of Benefits Form

MD Communication Form

Disclosure Authorization

Informed Consent Form

Insurance Assignment Policy

Oswestry Disability Form

Review of Systems Form

Headache Index Form

Neck Pain Index Form

Personal Injury Information Form

Personal Injury Questionnaire Form


Dr. Redd

New Patient Health History Form

Patient Information Update Form

Auto Accident Injury Form

Personal Injury Form


Dr. Rubin

New Patient Form


Dr. John Smith

New Patient Forms


Dr. Sean Smith

New Patient Forms


Dr. Schmid

New Patient Health History

Consent to Treat Form

HIPAA Policy Form

Insurance Assignment Form

MD Communication Form

Direct Payment Form

Auto Accident Questionnaire Form

Lower Back Questionnaire Form

Neck Disability Questionnaire Form

Personal Injury Information Form


Dr. Wallace

Submit Form Online

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Office Locations

Cary, NC Chiropractor 
Dr. Richard Armstrong
Phone: (919) 467-2895

Dr. Ira Rubin

Phone: (919) 467-7797

Clayton, NC Chiropractor 
Dr. Nicholas Ferez
Phone: (919) 550-9355

Durham, NC Chiropractor 
(Durham Chapel Hill Blvd) 

Dr. Michael Krasnov
Dr. Keegan McCourt
Phone: (919) 383-9890

Durham, NC Chiropractor
(Southpark Drive)
 

Dr. Arturo Presas
Phone: (919) 572-2312

Fuquay Varina, NC Chiropractor 
Dr. Brook Wallace
Phone: (919) 577-0660 

Garner, NC Chiropractor 
Dr. Betsy Case-Luca
Phone: (919) 772-1113 

Raleigh, NC Chiropractor
(Midtown Raleigh)
 

Dr. Greg Baldy
Dr. Alan Houfek

Phone: (919) 787-8883

Raleigh, NC Chiropractor
(Celebration Square)
 

Dr. Brian Ransone
Dr. Matthew Schmid

Phone: (919) 847-3122 

Raleigh. NC Chiropractor
(Capital Blvd)
 

Dr. John Smith
Dr. Sean Smith
Phone: (919) 878-8848

Saturday Appointments Available

Wake Forest, NC Chiropractor 
Dr. Russ Redd Chiropractor
Phone: (919) 556-2014