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 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

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

Please call 919.400.7909 to check availability

Monday:

8:00 am-5:30 pm

Tuesday:

8:00 am-5:30 pm

Wednesday:

8:00 am-5:30 pm

Thursday:

8:00 am-5:30 pm

Friday:

Closed

Saturday:

Closed

Sunday:

Closed

Location

Find us on the map

Testimonials

Reviews By Our Satisfied Patients

  • "After suffering with back pain that caused me to be out of work for weeks and going to other doctors who were not able to help me, I decided to give Quintessential Wellness a try. Dr. Hammond and Dr Keates took great care of me, got my back straightened out, and enabled me to go back to work. Everyone in this office from the doctors to the office staff to the massage therapist is very friendly and helpful! I highly recommend this practice!"
    Doug Edwards
  • "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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