New Patients Forms

Our Practice Accepts the Following Insurance:

Blue Cross and Blue Shield of SC

BCBSSC Blue Choice HMO

Blue Choice Medicaid HMO

BCBSSC and Blue Choice Exchanges (Health Exchange Products)

BCBSSC Medicare Advantage Plan

BCBSSC Federal

State BCBS


Humana/Choice Care Network


Select Health Medicaid HMO

Molina Healthcare


Tricare Prime

United Healthcare




Please print, complete and bring these forms to your appointment.  We ask that you would please arrive 30 minutes prior to your appointment so that we may have time to process your information.

Comprehensive HIPAA Acknowledgement Form

Patient Financial Policy

Patient Registration 

Medical History


What to Expect

Being well-prepared for your appointment will ensure that the doctor has all of the needed information to provide the best possible care for you. It also will help relieve any unnecessary anxiety you may be feeling. Educate yourself on your symptoms by reviewing the content on this Website. Also, take some time to review our staff page and familiarize yourself with the doctors. We look forward to your first visit.