New Patient Paperwork

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

  • Authorization and Assignment of Benefits to Medical

    Click to Complete

  • Consent to Treat Form

    Click to Complete

  • HIPAA Patient Consent Form - Assignment of Benefits

    Click to Complete

  • Patient Provider List

    Click to Complete

Monday
9:00am - 1:00pm
3:00pm - 6:00pm


Tuesday
9:00am - 1:00pm
3:00pm - 6:00pm


Wednesday
9:00am - 1:00pm
3:00pm - 5:00pm


Thursday
9:00am - 1:00pm
3:00pm - 5:00pm


Friday
9:00am - 1:00pm


Saturday
Closed

Devine Chiropractic

2908 Devine Street
Columbia, SC 29205

(803) 497-3860