- 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 want our staff to check your insurance benefits for chiropractic we need you to provide us with your insurance information before your first visit to allow sufficient time for our staff to get this information from your insurance company.
Chiropractic New Patient Forms:
-Acceptance of Privacy & Financial Policy
MLS Laser Therapy New Patient Forms:
-Acceptance of Privacy & Financial Policy
Other Forms:
EZ Pay Signature On File Authorization Form
ChiroHealthUSA Discount Medical Plan Membership InformationPatient Financial Responsibility Policy