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Advanced Spinal Care 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.

New Patient Health History Forms - Required

This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

Confidential Patient Information Sheet - Download & Print Form

CAD Injury History 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®

Now accepting new patients!

THIS ---->https://aschelpsmecom.chiromatrixbase.com/online-forms.html

Request Appointment

DayMorningAfternoon
Monday8:00 - 1:002:00 - 6:00
Tuesday8:00 - 1:002:00 - 6:30
Wednesday8:00 - 1:002:00 - 6:00
Thursday8:00 - 1:002:00 - 6:00
Friday8:00 - 1:002:00 - 6:00
SaturdayBy AppointmentClosed
SundayBy AppointmentClosed
Day Morning Afternoon
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
8:00 - 1:00 8:00 - 1:00 8:00 - 1:00 8:00 - 1:00 8:00 - 1:00 By Appointment By Appointment
2:00 - 6:00 2:00 - 6:30 2:00 - 6:00 2:00 - 6:00 2:00 - 6:00 Closed Closed

Testimonial

I had been to 6 different doctors before Workman's Comp sent me to Dr. Shariff, had they just sent me there first, I would have been to work much faster. I feel great and I owe it all to him. I am pain free and don't have totake pain medication anymore. Thank you.

Matt C.
Charleston, SC

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