Health And Wellness For The Whole Family
843-558-0056

These forms may be downloaded

Document Description Type & Size
CHIROPRACTIC HEALTH HISTORY FORM.pdf
NEW PATIENT HEALTH HISTORY FORM
pdf
0.19 MB
CARDIOVASCULAR CLEARANCE FORM.docx
DOT CLEARANCE FORM FOR CARDIOVASCULAR CONDITIONS
docx
0.10 MB
COUMADIN THERAPY CLEARANCE FORM.docx
DOT CLEARANCE FORM FOR COUMADIN THERAPY
docx
0.08 MB
DIABETES CLEARANCE FORM.docx
DOT CLEARANCE FORM FOR DIABETES
docx
0.09 MB
EPILEPSY CLEARANCE FORM.docx
DOT CLEARANCE FORM FOR EPILEPSY
docx
0.08 MB
HYPERTENSION CLEARANCE FORM.docx
DOT CLEARANCE FORM FOR HYPERTENSION (HIGH BLOOD PRESSURE)
docx
0.09 MB
MEDICATIONS CLEARANCE FORM.docx
DOT CLEARANCE FORM FOR MEDICATIONS THAT MAY CAUSE DROWSINESS OR IMPAIR YOUR ABILITY TO DRIVE
docx
0.10 MB
DOT REQUIREMENTS CHECKLIST.docx
FEDERAL DOT CMV MEDICAL EXAMINATION CHECK LIST
docx
0.09 MB
SLEEP APNEA CLEARANCE FORM.docx
DOT CLEARANCE FORM FOR RESPIRATORY DISFUNCTION/SLEEP APNEA
docx
0.09 MB
VISION CLEARANCE FORM.docx
DOT CLEARANCE FORM FOR VISION ASSESSMENT
docx
0.08 MB
CLEARANCE PRESCRIPTION MEDICATION LIST.docx
PRESCRIPTION MEDICATION LIST THAT MAY CAUSE DROWSINESS OR IMPAIR YOUR ABILITY TO DRIVE
docx
0.03 MB

QuickFacts

Address
Hemingway Spinal Care Center
304 E BROAD ST,
P O BOX 1601 HEMINGWAY, SC 29554
Hours
Monday:
8 AM - 1 PM, 2:30 PM - 5 PM
Tuesday:
Closed
Wednesday:
Closed
Thursday:
8 AM - 1 PM, 2:30 PM - 5 PM
Friday:
Closed
Saturday:
Closed
Sunday:
Closed
Contact
Phone: 843-558-0056
Fax: 843-558-0056

More Info

Social Media

FEDERAL DOT MEDICAL EXAM

CERTIFIED MEDICAL EXAMINER (LISTED ON NATIONAL REGISTRY)
DOT PHYSICALS

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