If you need a more accessible version of this website, click this button on the right. Switch to Accessible Site


You are using an outdated browser. Please upgrade your browser to improve your experience.

Close [x]

Welcome to the new patient center for True Health Chiropractic!

We understand that arriving at a chiropractic office for the first time can be nerve racking. If you've never experienced chiropractic care before, you may not know what to expect when you come to our North Myrtle Beach chiropractic office for the first time. Filling out paperwork, learning new faces, and getting to know your way around the office can be an overwhelming experience.

That's why at True Health Chiropractic our aim is to remove any unnecessary stress or tension and make you feel comfortable during your visit with our chiropractors.

In this area of the website, you will be able to take care of the items necessary for your chiropractic visit prior to arriving, in the comfort of your own home. If you have any questions at any time, please don't hesitate to contact our North Myrtle Beach chiropractic office at 843-663-3377!

In order to provide you the best care possible please complete this form.

Patient Demographics

History of Complaint

Please identify the conditions that brought you to this office:

On a scale of 0 to 10 with 10 being the worst pain and 0 being no pain, choose the corresponding number to the complaints listed above

How did the injury happen

If an auto accident please provide

Past History

Social History

Family History


I hereby authorize payment to be made directly to True Health Chiropractic for all benefits which may be payable under a healthcare plan or from any other collateral sources. I authorize utilization of this application or copies thereof for the purpose of processing claims and effecting payments, and further acknowledge that this assignment of benefits does not in any way relieve me of payment liability and that I will remain financially responsible to True Health Chiropractic for any and all services I receive at this office.

Doctors Signature

Date Form Reviewed

General Health

Please identify how you current condition is affecting your ability to carry out activities that are routinely part of your life

Please check any of these you have suffered from within the last 6 months:

Welcome new patients

THIS ---->https://true-health-chiropractic.com/new-patient-center.html

Office Hours

Monday9:00 - 11:003:30 - 6:00
TuesdayClosed3:30 - 6:00
Wednesday9:00 - 11:003:30 - 6:00
ThursdayClosed3:30 - 6:00
Friday9:00 - 11:00Closed
Day Morning Afternoon
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
9:00 - 11:00 Closed 9:00 - 11:00 Closed 9:00 - 11:00 Closed Closed
3:30 - 6:00 3:30 - 6:00 3:30 - 6:00 3:30 - 6:00 Closed Closed Closed


I had severe allergies and low back pain for years, plus I was always tired and had occasional neck pain. Before coming to True Health Chiropractic I had taken every allergy pill ever made and nothing would work. I also tried stretching for my neck and low back but the pain would still be there. My allergies now are basically gone. I have not had any low back or neck pain since being adjusted and I am way more energetic!

Michael J.
North Myrtle Beach, SC

Newsletter Sign Up