Make an appointment. (803) 254-3230


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

New Patients

Patient Information Sheet

Complete at first visit and every three years thereafter.

Patient Information Form - En Español
Complételo en la primera cita y después cada tercer año.

Patient History Form

Complete at first visit and annually.

Acknowledgment of Receipt of Notice of Privacy Practices

Acknowledge that you have read and understand our privacy practices.

Complete annually. Your patient information is strictly confidential.

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.