Online Forms

Alpha Health Center offers our patient form(s) online so they can be completed it in the convenience of your own home or 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.
  • Bring your completed form with you to your appointment.

New Patient Health History Form - Required

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!

New Patient Form

Auto Accident Information Form

Please use this form only if you have been involved in an auto accident. You may fill it out online and contact us for the email address to send it to or print and bring with you. We will have you sign it when you come in for your appointment.

Auto Accident Form

Neuropathy Forms

Neuropathy  Form

Neuropathy Quality Of Life Questionnaire

Email Us

Complete the form below to send us an email.

Greensboro Location

Office Hours


9:00 am-6:00 pm


3:00 pm-6:00 pm


9:00 AM-6:00 pm


9:00 AM-6:00 pm


9:00 AM-12:00 pm