New Patient Paperwork

Family Practice of Chiropractic offers our patient form(s) online so they can be completed in the convenience of your own home or office. Simply click on a form below to get started.

  • New Patient Form

    Click to Complete

  • Case History Update Form

    Click to Complete

  • Auto Accident Form

    Click to Complete

  • Medicare Fees Form

    Click to Complete

  • Request For Records Form

    Click to Complete

  • Dry Needling Consent

    Click to Complete

  • UHC Preauthorization

    Click to Complete

OFFICE HOURS

Monday
8:00am - 6:30pm

Tuesday
8:00am - 5:30pm

Wednesday
8:00am - 6:30pm

Thursday
8:00am - 5:30pm

Friday
8:00am - 6:30pm

Saturday & Sunday
Closed

Family Practice of Chiropractic

203 Amicks Ferry Rd
Chapin, SC 29036
P: (803) 932-9399
F: (803) 948-9322