New Patient Paperwork

Ju Chiropractic Wellness Center offers our patient form(s) online so they can be completed in the convenience of your own home or office.

  • All forms are PDF files. You will need AdobeReader® to view them.
  • If you do not already have AdobeReader® installed on your computer,
    Click Here to download.
  • Download the necessary form(s), print them out and fill in the required information.
  • Bring the necessary form(s) to your appointment.
  • Adult - Patient Application Form

    Click to Download

  • Child - Patient Application Form

    Click to Download

  • Motor Vehicle Collision Application

    Click to Download

Monday
9:00am - 11:30am
2:00pm - 6:00pm


Tuesday
2:00pm - 6:00pm


Wednesday
9:00am - 11:30am
2:00pm - 6:00pm


Thursday
9:00am - 11:30am
2:00pm - 6:00pm


Friday
Closed


Saturday & Sunday
Closed

Ju Chiropractic Wellness Center

1000 Park Forty Plaza #200
Durham, NC 27713

(919) 405-2002