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Practice Name

Durham Chiropractic Center

Primary Location
1802 Martin Luther King, Jr. Pkwy. #107
Durham, NC 27707
Phone: (919) 401-5061
Fax: 919-401-8253

Office Hours

DayMorningAfternoon
Monday8:30am - 11:30 am2pm - 6pm
Tuesday8:30am - 11:30 am2pm - 6pm
Wednesday8:30am - 11:30 am2pm - 6pm
Thursday8:30am - 11:30 am2pm - 6pm
Friday8:30am - 12:00 pmClosed
SaturdayClosed
SundayClosed
Main Content

In order to provide you the best possible wellness care, please complete this form

Patient Data

Mailing Address

Current Complaints

Nature of Injury

Insurance Information

*If an auto accident, please provide:

Signatures

Name of the Insured _____________________________________________

I understand and agree that health/accident insurance policies are an arrangement between an insurance carrier and myself. I understand and agree that all services rendered to me and charged are my personal responsibility for timely payment. I understand that if I suspend or terminate my care/treatment, any fees for professional services rendered to me will be immediately due and payable.

Patient's signature _______________________________________________

Date ____________________

Spouse's or guardian's signature __________________________________

Date ____________________

Medical History

Have you ever:

Family History

Habits

Have you ever suffered from:

Exclusive Offer

New Patients are eligible for a Free Initial Consultation.

Name: *
Email: *
Phone: *

Services We strive to provide complete care for our patients. Learn more about all the services we provide. Make An Appointment We will do our best to accommodate your busy schedule. Schedule an appointment today! Online Forms Our patient forms are available online so they can be completed in the convenience of your own home or office.

Office Hours

DayMorningAfternoon
Monday8:30am - 11:30 am2pm - 6pm
Tuesday8:30am - 11:30 am2pm - 6pm
Wednesday8:30am - 11:30 am2pm - 6pm
Thursday8:30am - 11:30 am2pm - 6pm
Friday8:30am - 12:00 pmClosed
SaturdayClosed
SundayClosed
Day Morning Afternoon
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
8:30am - 11:30 am 8:30am - 11:30 am 8:30am - 11:30 am 8:30am - 11:30 am 8:30am - 12:00 pm Closed Closed
2pm - 6pm 2pm - 6pm 2pm - 6pm 2pm - 6pm Closed

Meet Dr. Essman For 25 years, Dr. Essman has served the NC communites of Asheville, Wilmington, and the Triangle as a holistic chiropractic physician. Read More

  • (919) 401-5061
  • 1802 Martin Luther King, Jr. Pkwy. #107 Durham, NC 27707
  • Get Directions
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