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

Cigna

Humana/Choice Care Network

Medcost

Select Health Medicaid HMO

Molina Healthcare

Tricare

Tricare Prime

United Healthcare

Medicare

 

NEW PATIENT FORMS

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.