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100 Year Lifestyle Chiropractor in Lexington SC • Phone: 803-356-1350
Make Your Health a Priority!

Patient Forms




Please download these forms and complete them prior to your first visit. Bring the completed forms, along with your insurance information, with you and arrive for your appointment 15 minutes prior to your scheduled time. We look forward to seeing you!


Terms of Acceptance

Chiropractic health care terms of acceptance form.


Personal and Family Health History

Please fill this form and bring it with you on your first visit to our practice.


Consent

Please fill this form and bring it with you on your first visit to our practice.



Office Fees

Please fill this form and bring it with you on your first visit to our practice.



Massages

* If you have a massage scheduled*
Please fill this form and bring it with you on your first visit to our practice.