New Patient Forms

New patients can save time by completing the 2 forms below. Simply download and print the forms and fill in the requested information. Bring the completed forms with you to the first visit.

contact

Mailing Address 1709 Legion Road, Suite 200 Chapel Hill, NC 27517 Located near the D and CL bus lines.
Telephone/FAX PH: (919) 240-0203 FX: (919) 240-0204
Email Address btesten@aljcc.com