Online Forms

  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print them out and fill in the required information.
  • Fax us your printed and completed form(s) to (864)268-8198 or bring the completed them with you to your appointment.
If you can provide us with your insurance information before your first visit, we can verify any benefits for our services that you might have. We look forward to seeing you in the office!  

Forms For All Chiropractic Patients:
New Patient Paperwork


For MLS Laser Therapy Patients:

Laser Patient Registration & Consent


Additional Forms For All Medicare Patients:

About Medicare Coverage for Chiropractic
Advance Beneficiary Notice Form


Additional Forms For Auto Accident Patients:

 *Please note that Auto Accident patients must pay in full for all services rendered, and we will provide you with reimbursement documentation, unless you have an attorney handling your case who agrees to protect and pay our bill for services.


For Nutrition Clients:

Nutrition Client Questionnaire & Consent
Nutrition Client Privacy Form
Nutrition Services Brochure


CONTACT US TODAY

We look forward to hearing from you

Location

Located in Building B of Hampton Walke office complex on Wade Hampton Blvd.

Office Hours

Our Regular Schedule

Monday:

9:00 am-1:00 pm

2:00 pm-6:00 pm

Tuesday:

Closed

Wednesday:

9:00 am-1:00 pm

2:00 pm-6:00 pm

Thursday:

9:00 am-1:00 pm

2:00 pm-6:00 pm

Friday:

9:00 am-1:00 pm

2:00 pm-5:00 pm

Saturday:

By Appt. 9-1

Closed

Sunday:

Closed

Closed