WARNING

You are using an outdated browser. Please upgrade your browser to improve your experience.

Close [x]

864-370-2200

Chandler Chiropractic Clinic offers our patient forms online so they can be completed in the convenience of your own home or office, before you even arrive to our chiropractic 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.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.



Accidental Injury FormChiropractic Case History Form

Download & Print Form



Confidential Patient Information Form


Download & Print Form



Health Condition Form


Download & Print Form



Consent for Chiropractic Care


Download & Print Form



Privacy Policy Notice


Download & Print Form



Methods of Payment Form


Download & Print Form



Exclusionary Statement Form


Download & Print Form




Notice Form


Download & Print Form



Medpay and PIP Form


Download & Print Form



Member Wellness Registration Form - Optional

This form can be filled out to register for access to the member wellness section of our website. You can also sign up for our monthly newsletter to keep up on current health issues and news and events in our chiropractic office. You can print the form out and bring it in to our office during your next visit with our chiropractor, or Click Here to register online! The online newsletter sign-up is also on the right. We look forward to making your experience with our office and website more interactive and rewarding!

Download & Print Form





Download the Free AdobeReader®

Exclusive Offer

First visit for only $14.95! Includes x-rays, consultation and exam!

 

Call us at 864-370-2200 to take advantage of this exclusive offer.

Office Hours

DayMorningAfternoon
Monday8:30 - 1:003:00- 6:00
Tuesday8:30 - 1:003:00 - 6:00
Wednesday8:30 - 1:003:00 - 6:00
Thursday8:30 - 1:00Closed
Friday8:30 - 1:003:00 - 6:00
SaturdayClosedClosed
SundayClosedClosed
Day Morning Afternoon
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
8:30 - 1:00 8:30 - 1:00 8:30 - 1:00 8:30 - 1:00 8:30 - 1:00 Closed Closed
3:00- 6:00 3:00 - 6:00 3:00 - 6:00 Closed 3:00 - 6:00 Closed Closed

What can we help you find?