Online Forms

Bring in your printed and completed forms to our South Charleston office. The following forms and useful documents are in Adobe Acrobat; they require the free Acrobat Reader to view. Click on each to download and view.

Required for New Patients

New Patient Forms Packet

New Patient Nutritional Consult

Application for Neuropathy Treatment

Special Circumstances

Knee Pain Treatment Form

Workers Comp Form

Patient History Update Form

Your privacy is important to us. All information received in the above forms and through other communications is subject to our Patient Privacy Policy.

  • 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.



  • Download the Free AdobeReader®

    Office Hours

    Our Regular Schedule

    Monday:

    9:00 am-1:00 pm

    2:00 pm-6:00 pm

    Tuesday:

    9:00 am-1:00 pm

    2:00 pm-4:00 pm

    Wednesday:

    9:00 am-1:00 pm

    2:00 pm-6:00 pm

    Thursday:

    9:00 am-1:00 pm

    2:00 pm-4:00 pm

    Friday:

    9:00 am-1:00 pm

    2:00 pm-6:00 pm

    Saturday:

    Closed

    Sunday:

    Closed

    Locations

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    Testimonial

    Review By Our Satisfied Patient

    • "Amazing D.C. who cares so much about the patients and a terrific supporting staff! Lots of smiles, lots of healing, and flexible scheduling around patients hours for work, home, and even school!"
      Nichole M. / South Charleston, WV

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