Online Forms

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 AdobeReaderĀ® 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

If preferred, please arrive 15 minutes prior to your appointment to fill out paperwork in the office.

For Acupuncture New Patients:

New Patient - Click Here for Acupuncture Paperwork

For Functional Medicine Patients:

New Patient - Click Here for Functional Medicine Paperwork

Established Patient - Click Here for System Survey

Office Hours

Our Regular Schedule

Monday:

8:00 am-6:00 pm

Tuesday:

8:00 am-6:00 pm

Wednesday:

8:00 am-6:00 pm

Thursday:

8:00 am-6:00 pm

Friday:

8:00 am-4:00 pm

Saturday:

Closed

Sunday:

Closed

Location

Find us on the map

Testimonials

Reviews By Our Satisfied Patients

  • "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
  • "The staff at QW is absolutely wonderful. I suffer from scoliosis and have had back problems for most of my life. Since coming to QW my back pain has decreased greatly. I highly recommend going to see Dr. Keats and the staff at QW."
    Jenna B.

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