Grand Strand Health & Wellness offers our patient form(s) online so they can be completed in the convenience of your own home or 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.
Application for Care
Please download, print, and fill out the Application for Care form provided here. Once finished proceed to Step 2.
About You - Online Form
Please fill out the online form provided here. Please only fill up to the About You section.
Step 3 (Personal/Work Injury Only):
Personal and Work Injury Form
Please download, print, and fill out this form provided here only if you have been in a work/personal injury.