4 Convenient Locations To Serve You

New Patient Paperwork

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

  • All forms are PDF files. You will need AdobeReaderĀ® to view them...
  • If you do not already have AdobeReaderĀ® installed on your computer, Click Here to download.
  • Download the necessary form(s), print them out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.

Surfside & Myrtle Beach Paperwork


Florence Paperwork

What Our Patients Say

My interactions with the various staff members have exceeded my initial expectations. I am impressed and pleased the care given here does not stop at adjustments. Deep tissue massage and traction were incorporated in my care.

Suzanne

Dr. Gaulard was very compassionate and gentle, and after only a few visits, I am walking and able to bend, with ease, and much less pain. Thank you, so much, for getting me back on track.

Nancy J.

Everyone is very friendly and professional here!

Anonymous

Conway, SC

Florence, SC

Myrtle Beach, SC

Surfside Beach, SC