Align Chiropractic & Massage

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640 US-17 BUS, Surfside Beach, SC 29575

/ (843) 945-4087

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Patient Forms

Editable PDF & Print Friendly Forms

Adult Intake Form

Spinal Nerve Function

Pediatric School Aged

Pediatric Infant Toddler

Pregnancy

System Survey Form

Toxicity Questionnaire

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  • Please use this form for general information purposes only. DO NOT send personal health information through this form. Specific patient care must be addressed during your appointment.

Office Hours

Monday – Thursday:
9:00 am-12:00 pm & 2:00 pm-5:00 pm
Friday – Sunday:
By Appointment Only

Appointments

We will do our best to accommodate your busy schedule. Request an appointment today!

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Get In Touch

(843) 945-4087

640 US-17 BUS
Surfside Beach, SC 29575

Align Chiropractic & Massage

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