New Patient Paperwork

Gittens Health and Wellness offers our patient form(s) online so they can be completed in the convenience of your own home or office.

  • Some  forms are PDF files. You will need AdobeReader® to view them.
  • If you do not already have AdobeReader® installed on your computer,
    Click Here to download.
  • Download the necessary form(s), print them out and fill in the required information.
  • Bring the necessary form(s) to your appointment.
  • New Patient Paperwork - English

    Click to Complete

  • New Patient Paperwork - Spanish

    Click to Download

OFFICE HOURS


Monday
8:30am - 1:00pm
3:00pm - 6:00pm


Tuesday
8:00am - 1:00pm
3:00pm - 6:00pm


Wednesday
8:30am - 1:00pm
3:00pm - 6:00pm


Thursday
3:00pm - 7:00pm


Friday
9:00am - 12:00pm
Open the 2nd and 4th Fridays Only


Saturday & Sunday
Closed

Gittens Health and Wellness

333 W Palmetto St
Florence, SC 29501

(843) 678-9394