121 Sparkleberry Crossing Rd.Suite 200

Columbia, SC 29229 USA

(803) 788-2167

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Online Forms

Escobedo Chiropractic & Associates offers our patient forms online so they can be completed in the convenience of your own home or office, before you even arrive to our chiropractic 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 us your printed and completed form(s) or bring it with you to your appointment.

New Patient Health History Form - Required

This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

Download & Print Form

Release of Information 

Download & Print Form

Auto Accident Form 

Download & Print form


Sign up now for a free consultation!

Office Hours

Our Regular Schedule

Monday:

8:00 am-12:00 pm

2:00 pm-6:30 pm

Tuesday:

Closed

2:00 pm-6:00 pm

Wednesday:

8:00 am-12:00 pm

2:00 pm-6:30 pm

Thursday:

8:00 am-12:00 pm

2:00 pm-6:00 pm

Friday:

8:00 am-11:00 am

Closed

Saturday:

Closed

Closed

Sunday:

Closed

Closed

Location

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Testimonials

Reviews By Our Satisfied Patients

  • "What pleased me most about Escobedo Chiropractic & Associates was the way the doctors and staff made me feel so good by showing that they really care. I just want to say thanks again for a wonderful job. I feel great thanks to all of you."
    Antoine E.

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