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New Patient Registration Documents

Before you can be considered as a patient, you must sign and submit each of the documents in the New Patient Registration Packet below. Click the button below to download the New Patient Registration Packet.
Please note that all new patients must pay annual membership of $135 at first appointment. Current patients must pay for annual membership by April 30 each year.
Registration Packets can be mailed to:
Carolina Integrative Medicine
1011 Tiger Blvd., Suite 300
Clemson, SC 29631
You can also fax completed packets to 864.722.9261 or scan and email completed packets to If you have any questions or concerns, please contact our office at 864.722.9262 or email