Coastal Integrative Health New Client Registration Forms

The following are registration forms and disclosures which are normally given upon a first visit to our office. If you have recently made an appointment at our office and were asked to download a registration form to fill out, you are in the right place! Please give us a call at (910) 755-5400 if you are unsure of which forms you need to download, or if you have questions about one of the forms.

Attention UHC Insurance Members

The following forms are required by United Healthcare Insurance for authorization for care.

You will need free Adobe Reader 8.0 or earlier in order to view the above documents. If you do not have Adobe Reader, you may download it by clicking here or by clicking the below button and following the directions that appear on your screen.

Mychirologo

Stay connected iphonewith your doctor

Schedule an Appointment Send Instant Messages Request a Refill Ask Advice Stay up to date on News …and more!

Be sure to use the code CIH0001 when setting up the app!

Our goal is to better the entire chiropractic care experience by staying on the same page with patients and making communication easier than ever.

LEARN MORE >