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843-342-3333

Exclusive Offer

Exclusive Offer, New Patients receive Free Consultation.

Main Street Health Chiropractic offers our patient form(s) online so you can complete it in the convenience of your own home or office.

  • 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 or email us your printed and completed form(s) or bring it with you to your appointment.

NEW PATIENT FORMS

Please complete and bring these with you to your first visit, or even better, fax or email to us ahead of time with a copy of the front & back of your insurance card (if applicable) to 843-342-3367 or [email protected]

If you will be using your insurance in our office, in addition to the New Patient Intake, please complete the Oswestry form.

New Patient Intake Form

Oswestry





Download the Free AdobeReader®

Testimonial

Dr. Haven is my hero!! I have been under his care since a car accident in October. It took some major work to fix my neck and back problems. If you follow what he tells you to do it will work!! I feel better, stand straighter, and even have increased energy from even prior to the accident.

Beth

Office Hours

DayOpenClosed
Monday8:00am4:00pm
Tuesday8:00am4:00pm
WednesdayAppointmentonly
Thursday8:00am4:00pm
FridayAppointmentonly
SaturdayClosedClosed
SundayClosedClosed
Day Open Closed
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
8:00am 8:00am Appointment 8:00am Appointment Closed Closed
4:00pm 4:00pm only 4:00pm only Closed Closed