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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

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