Swiss Spine Clinic - non-surgical spine and joint care
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Swiss Spine Clinic Patient Forms

In preparation for your first appointment at our office, please print and complete the forms below.  This will help to ensure that your insurance claims are promptly processed and your care is not delayed.

Please make sure to arrive to your appointment 20 mins early with this information completed.  When you arrive, we will have you complete your personal health information and medical history in our new compliant Electronic Health Records documentation program.  Arriving late may impact the amount of time you will have with the doctor. 

Patient Intake Form

Please contact our office at (919) 589-0909 if you have any questions regarding the forms attached.


Dr. Thomas H Gugerli, DC FASBE  |  3100 NC HWY 55, suite 204  |  Cary, NC 27519  |  (phone)  919-589-0909 |  ( fax) 919-589-0199 |  info@SwissSpineClinic.com

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