Askeland Chiropractic & Acupuncture

(919) 841-0081

  • Home
  • Meet the Doctors
  • First Visit
  • Insurance Accepted
  • Who We Help
  • Services
    • Services
    • Cold Laser Therapy
    • Mckenzie Method
    • Myofascial Release
    • Cupping
    • Dry Needling
    • Adjustment & Manipulation
    • Shockwave Therapy
    • Additional Services
  • Conditions
    • Conditions We Treat
    • Auto Injuries
    • Sports Injuries
    • Work Injuries
    • Headaches
    • Pain Conditions
    • Neck Pain
    • Back Pain
  • Contact Us
  • More
    • Home
    • Meet the Doctors
    • First Visit
    • Insurance Accepted
    • Who We Help
    • Services
      • Services
      • Cold Laser Therapy
      • Mckenzie Method
      • Myofascial Release
      • Cupping
      • Dry Needling
      • Adjustment & Manipulation
      • Shockwave Therapy
      • Additional Services
    • Conditions
      • Conditions We Treat
      • Auto Injuries
      • Sports Injuries
      • Work Injuries
      • Headaches
      • Pain Conditions
      • Neck Pain
      • Back Pain
    • Contact Us
Askeland Chiropractic & Acupuncture

(919) 841-0081

  • Home
  • Meet the Doctors
  • First Visit
  • Insurance Accepted
  • Who We Help
  • Services
    • Services
    • Cold Laser Therapy
    • Mckenzie Method
    • Myofascial Release
    • Cupping
    • Dry Needling
    • Adjustment & Manipulation
    • Shockwave Therapy
    • Additional Services
  • Conditions
    • Conditions We Treat
    • Auto Injuries
    • Sports Injuries
    • Work Injuries
    • Headaches
    • Pain Conditions
    • Neck Pain
    • Back Pain
  • Contact Us

Patient Forms

Auto Accident Forms (pdf)Download
New Patient Packet (pdf)Download

Please complete the relevant forms

Activities of Daily Living Questionnaire (pdf)Download
Headache Questionnaire (pdf)Download
Headache Questionnaire (pdf)Download
Neck Pain Questionnaire (pdf)Download

Miscellaneous forms

Clinical Submission Form for Aetna or UHC Subscribers Only (pdf)Download
Medical Records Request (pdf)Download
  • Privacy Policy
  • Terms and Conditions
  • Our Mission
  • Why Choose Us
  • Schedule Appointment
  • Safety
  • What is Chiropractic?
  • FAQs
  • Patient Forms
  • Blog
  • Questions to Ask

Askeland Chiropractic

7511 Mourning Dove Rd. Suite 104 Raleigh, NC 27615

(919) 841-0081

Copyright © 2026 Askeland Chiropractic - All Rights Reserved. Email: info@askelandchiro.com. Hours: Mon 8-1 and 3-5:30, Tue 8-12, Wed 8-1 and 3-5:30, Thu 8-1 and 3-5:30, Fri 8-12, Sat and Sun closed.

Last updated: October 2026