Instructions for Completing New Patient Forms

Please remember that all health information is protected and private and answering honestly is very helpful and enables your doctor to provide the best possible medical care to you. If you have any questions about completing the paperwork, please contact our office at 864-305-1662.

New Patient Forms


Form for Patients 12 and under:

New form for patients 12 years and under

Form for Patients 12-17 years:

New form for patients 12-17 years

Form for Patients 18 and up:

New form for patients 18 years and up

Please remember that all health information is protected and private and answering honestly is very helpful and enables your doctor to provide the best possible medical care to you.

 

Referal Forms

Patient referal form:

Patient referal form 2018


Medical Release Authorization Forms

Forms for medical release:

Patient medical release form 2018