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Carolina Chiropractic 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 Forms Link

Click Here

New Patient Health History Form PDF

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!

Download & Print Form


Download the Free AdobeReader®

Exclusive Offer

Now Accepting New Patients.

Come check out our brand new chiropractic tables and all the new features they provide. 

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

Office Hours

Monday8 am - 1 pm2:30 - 5:45 pm
Tuesday8 am - 1 pm2:30 - 5:45 pm
Wednesday8 am - 1 pm2:30 - 5:45 pm
Thursday8 am - 12pmClosed
Friday8 am - 1 pm2:30 - 5:00 pm
Saturday9 am - 11amBy Appointment Only
Day Morning Afternoon
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
8 am - 1 pm 8 am - 1 pm 8 am - 1 pm 8 am - 12pm 8 am - 1 pm 9 am - 11am Closed
2:30 - 5:45 pm 2:30 - 5:45 pm 2:30 - 5:45 pm Closed 2:30 - 5:00 pm By Appointment Only Closed


The people here are so friendly and personable they make you feel like you came to visit with family. I love coming here and the treatments I am receiving are really helping me. I would recommend them to and and all my friends and family, they are great people!!

Christina B.
Southern Pines, NC

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