First Health Associates offers some of our patient form(s) online so that they can be completed in the convenience of your own home or 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.
Free Membership Registration/Register Your Email - Optional
This short form can be filled out to register your email with First Health Associates, SC whether you are a current patient, prospective patient or just someone interested in learning about available health options. You will receive our on-line newsletters, as they become available, which will keep you up-to-date on current health issues, occasional emails on exciting news and events in our office, doctor announcements and much more. You may download and print the form below and bring it in to our office or Click Here to register online!
We look forward to making your experience with our office and website more interactive and rewarding!
Membership Registration FormContact Information - Required
(for everyone)
This information is needed to start your file. It contains your personal information, emergency contact information and your primary care provider information.
Confidential Health Information Questionnaire
Patient Health Questionnaire - Required
(for MD, Physical Therapist, Nutritionist & Chiropractic initial visits)
This lets us know the history and current state of your health. What questions, concerns, and goals regarding your health and wellness can we help you with? Let us know!
Nutritional Forms - Required
(for patients seeing our nutritionist for the first time)
Acupuncture & Chinese Medicine Consultation Form - Required
(for initial visit with TCM Providers)
Full history for our Traditional Chinese Medicine Providers to better help you.
Behavioral Health Forms - Required
(for patients seeking Behavioral Health Counseling)
Intake Form