If you need a more accessible version of this website, click this button on the right. Switch to Accessible Site

WARNING

You are using an outdated browser. Please upgrade your browser to improve your experience.

Close [x]

Quintessential Wellness offers our patient forms online so they can be completed in the convenience of your own home or office, before you even arrive to our chiropractic office.

  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.

For Chiropractic New Patients:

New Patient - Click here for Chiropractic Paperwork

For Applied Kinesiology/Nutrition Patients:

New Patient - Click Here for AK/Nutrition Paperwork

Established Patient - Click Here for System Survey

THIS ---->https://drkeatescom.chiromatrixbase.com/online-forms.html

Office Hours

DayMorningAfternoon
Monday9:00a-12:30p2:30-5:30p
Tuesday2:30p5:30p
Wednesday9:00a-12:30p2:30-5:30p
Thursday10:00a-12:30p2:30-5:30p
Friday9:00a12:00p
SaturdayBy Appt.By Appt.
SundayClosedClosed
Day Morning Afternoon
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
9:00a-12:30p 2:30p 9:00a-12:30p 10:00a-12:30p 9:00a By Appt. Closed
2:30-5:30p 5:30p 2:30-5:30p 2:30-5:30p 12:00p By Appt. Closed

Testimonials

Dr. Keates and her staff are AMAZING. They get to know you personally and are so helpful. Dr. Keates has already been a blessing in my journey through pregnancy.

Katie S.
Clayton, NC

Newsletter Sign Up