Appointments

Make an appointment. (803) 936-8901

Forms

Complete these forms before your visit and spend less time waiting.

New Patients


Patient Information

Fill this out before your first visit.

Información del Paciente

Complete esto antes de su primera visita.


Medical History

For first time patients.


Acknowledgement of Receipt of Notice of Privacy Practices

We keep your patient information confidential. Read our privacy policy.


Authorization for Release of Protected Health Information

We may need to request your medical records from another doctor.

Autorización de Cesión de Información de Salud Protegida

Es posible que tengamos que solicitar el historial médico de otro doctor.



Annual Updates


Patient Information

You should update this form every year.

Información del Paciente

Debe actualizar este formulario cada año.