New Patient Paperwork

Celanese Chiropractic Health & Performance offers our patient form(s) online so they can be completed in the convenience of your own home or office.

  • All forms are PDF files. You will need AdobeReader® to view them.
  • If you do not already have AdobeReader® installed on your computer,
    Click Here to download.
  • Download the necessary form(s), print them out and fill in the required information.
  • Bring the necessary form(s) to your appointment.
  • New Patient Self Pay Paperwork

    Click to Download

  • New Patient With Insurance Paperwork

    Click to Download

  • New Patient Auto Accident Paperwork

    Click to Download

OFFICE HOURS


Monday
7:45am - 6:00pm


Tuesday
7:45am - 6:00pm


Wednesday
7:45am - 6:00pm


Thursday
7:45am - 6:00pm


Friday
7:30am - 5:00pm


Saturday
Massage By
Appointment


Sunday
Closed

Celanese Chiropractic Health & Performance
1924 Mt Gallant Road
Rock Hill, SC 29732
(803) 323-5500