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Welcome to Southeast Family Chiropractic in Gastonia, NC

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Patient Information

New Patient Center

At Southeast Family Chiropractic, we understand that visiting a chiropractor for the first time can feel a little overwhelming. Whether you’re seeking relief from pain, recovering from an injury, or beginning wellness care, our goal is to make your first visit simple, comfortable, and stress-free.


From completing forms to learning what to expect, this section is designed to help you prepare for your appointment so you can focus on what truly matters—feeling better and healing faster.



If you ever have any questions, our friendly team is happy to help. Call us anytime at (704) 810-0448.

Online Forms - Click and Complete

Online Forms

To save time during your visit, you can complete our new patient forms at home. Simply download, print, and fill out the necessary forms before your appointment. Then bring them with you or fax them to our office.

If you don’t have Adobe Reader® installed, click here to download it.

Available Forms

New Patient Intake Form

Pediatric Intake Form

Formulario de Lesiones Personales (en español)

Completing these ahead of time ensures a smoother check-in and allows our team to begin your care right away.

Completar estas formas antes de tu cita nos asegura un proceso más rápido y eficiente.

Insurance & Financing

Payment Options

At Southeast Family Chiropractic, we believe that everyone deserves access to quality chiropractic care—regardless of insurance status. That’s why we offer flexible payment options designed to fit your budget.

We accept most major insurance plans, including:

Available Forms

Auto accident coverage

Workers’ compensation

Personal injury protection

Most health insurance plans (including Medicare)

Because coverage varies between plans, our staff will verify and explain your benefits before any treatment—at no charge.

To confirm your insurance coverage, please call

our office at (704) 810-0448.

No Insurance? No Problem.

If you don’t have insurance or chiropractic benefits, we offer affordable self-pay options and flexible payment programs. Many of our patients choose to pay directly for care and find that chiropractic wellness is both cost-effective and highly beneficial.

Health on a Budget

Investing a little time and effort in your health today can save you from costly medical care later. We encourage all patients to make their well-being a top priority.

At Southeast Family Chiropractic, our mission is to help you stay healthy—not just get out of pain. Remember:

“If you don’t have your health, you don’t have anything.”

We’re here to support your wellness goals every step of the way.

Prepare for Your Visit

To make your first appointment smooth and easy:

Complete your online forms ahead of time.

Arrive 10–15 minutes early if you prefer to fill them out in-office.

Bring your insurance card and photo ID (if applicable).

Wear comfortable clothing for your exam and movement assessment.

Our caring team will guide you through every step, explain what to expect, and ensure you feel right at home.


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