Chiropractic Care for the
Whole Family
Whole Family
We are welcoming new patients from Wilson and the surrounding areas. Please contact us today to schedule an appointment.
Our Platinum Care Promise
“If we can’t help you, we will find a doctor who can.”
Patient Forms
Hooper-Thurston Elite Chiropractic offers patient forms online so they can be completed in the convenience of your own home or office and will save you about 30 minutes in our office:
You may complete the forms online and email to appt@elitecenters.net
You may also print the forms and fill out the information to bring with you to your appointment or fax to us at 252.237.2167
You may complete the forms online and email to appt@elitecenters.net
You may also print the forms and fill out the information to bring with you to your appointment or fax to us at 252.237.2167
We are welcoming new patients from WIlson and the surrounding areas. Please contact us today to schedule an appointment.
New Patient Health History Forms:
This lets us know the history and current state of your health. What questions, concerns, goals,
regarding wellness can we help you with? Let us know!
Please see PDF links below to download patient forms.
regarding wellness can we help you with? Let us know!
Please see PDF links below to download patient forms.
Health/Medicare/Cash Patient Form
PDF
Please download, print and bring with you to your next appointment.
This form is for all new patients filing health insurance, medicare, medicaid or self pay (cash).
This form is for all new patients filing health insurance, medicare, medicaid or self pay (cash).
Spanish Health/Medicare/Cash Patient Form
PDF
Please download, print and bring with you to your next appointment.
This form is for all new patients filing health insurance, medicare, medicaid or self pay (cash).
This form is for all new patients filing health insurance, medicare, medicaid or self pay (cash).
New Patient Auto Accident Form:
If you have been involved in an auto accident please use the following form to let us know details about the accident and the injuries you received during the accident.
Please bring your police report and any other information that may be helpful to your appointment.
Please bring your police report and any other information that may be helpful to your appointment.
Auto Accident Patient Form
PDF
If you have been involved in an auto accident please use the following form to let us know details about the accident and the injuries you received during the accident.
Please bring your police report and any other information that may be helpful to your appointment.
Please bring your police report and any other information that may be helpful to your appointment.
Spanish Auto Accident Patient Form
PDF
If you have been involved in an auto accident please use the following form to let us know details about the accident and the injuries you received during the accident.
Please bring your police report and any other information that may be helpful to your appointment.
Please bring your police report and any other information that may be helpful to your appointment.
Consent to Treat a Minor Form for Parent:
Consent to Treat a Minor
PDF
If your family member who is presenting for treatment is younger than 18, please print and bring in the following completed form.