Patient Forms

Please Complete These Steps Before Your First Visit

Grand Strand Health & Wellness offers our patient forms online so they can be completed in the convenience of your own home or office.

complete your new patient forms online

Our patient forms our now available completely online. Please take the time to complete them using the links below before your first visit to expedite being seen by our staff.

Application For Care

Fill out and submit this form for yourself or another adult you are the legal guardian of.

Pediatric Care Form

Fill out this form if you are parent or guardian seeking care for a pediatric patient.

Please Complete Review and complete our lateness policy form

If you are scheduling an appointment in regards to an auto accident or  personal / work injury claim, please complete the appropriate form below.

For Auto Accident Related Injury Only!

If you are scheduling an appointment in regards to an auto accident injury claim, please complete the form below.

If you have questions or need help with these forms, call our staff at 843-357-9355