For Our Patients

Thank you for choosing us for your medical needs.  Once you have been accepted as a new patient and have scheduled your first appointment, please complete forms 1-7 and bring them to your first visit.  Form 8 is our Privacy Policy and is for your information only.  If you have an appointment for a Medicare Annual Wellness exam, please complete and bring with you form 9.

  1. Patient Information
  2. HIPAA Acknowledgment
  3. HIPAA Restrictions
  4. History and Physical Form
  5. Authorization of Payment
  6. Medication Consent
  7. Other Policies
  8. Notice of Privacy Practices
  9. Annual Wellness Visit for Medicare Patients

 

Please plan on arriving 10 minutes prior to your scheduled appointment with your completed paperwork.  In addition, please bring with you:

  • your current insurance cards
  • Drivers License
  • all medication you are currently taking, in their original bottles

If you have any questions, please call us at 864-647-1820.

We look forward to seeing you!

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