New Patient Forms

Grand Strand Health and Wellness offers our patient forms online so they can be completed in the convenience of your own home or office.

Please Complete These Steps Before Your First Visit

COMPLETE YOUR NEW PATIENT FORMS ONLINE

Our patient forms our now available completely online. Please take the time to complete them using the links below before your first visit to expedite being seen by our staff.

GSHW Neuropathy Patient Intake Form

Fill out and submit this form for yourself or another adult you are the legal guardian of.

Workers Comp Form

Fill out this form if you are parent or guardian seeking care for a Neuropathy patient.

Personal Injury Patient Intake Form (New Patient)

Fill out this form if you are parent or guardian seeking care for a pediatric patient.

Pediatric Patient Intake Form

If you are scheduling an appointment in regards to an auto accident injury claim, please complete the form below.

GSHW Patient Intake Form

Fill out this form if you are parent or guardian seeking care for a GSHW Patient Intake.

If you have questions or need help with these forms, call our staff at 843-357-9355

New Patient Exam, Consultation & X-rays For Just $47* And Get A FREE BONUS Aqua Massage Session During Your Visit.

Schedule your new patient appointment now to lock in this great special offer. You’ll get your initial consultation, exam, x-rays (if needed), report of findings and custom care plan outline for just $47 (normally $250+). During this special offer, you’ll also receive a free session of our Aqua Massage Pain Relief Therapy to help soothe your pain and relieve stress. Choose an option below and secure this offer today!

Looking for same-day appointments?
Then give us a call and a member of our staff will be happy to check availability and try to get you in right away.

DaysTiming
SundayClosed
Monday8:00 AM - 12:00 PM , 1:30 PM - 6:30 PM
Tuesday8:00 AM - 12:00 PM , 1:30 PM - 6:00 PM
WednesdayClosed
Thursday7:30 AM - 12:00 PM, 1:30 PM - 5:30 PM
Friday8:00 AM - 1:00 PM
SaturdayClosed

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