Appointments

Make an appointment. (803) 788-0268

Office Hours

Northeast Columbia

MON - THU: 8 a.m. - 4 p.m.
FRI: 8 a.m. - 12 p.m.

(803) 788-0268

Lexington Medical Park 3

MON - THU: 8 a.m. - 4 p.m.
FRI: 8 a.m. - 12 p.m.

(803) 788-0268

Forms

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



New Patients


Patient Information

Fill this out before your first visit.

Información del Paciente

Complete esto antes de su primera visita.


Patient History

For first time maternity patients.

Formulario de Historia Médica

Para pacientes en maternidad por primera vez.


Universal Medication Form

A full list of medications will help us give you the best possible care, and prevent chemical conflicts.


Acknowledgement of Receipt of Notice of Privacy Practices

We keep your patient information confidential. Read our privacy policy.

Constancia de Prácticas Privadas

Mantenemos la confidencialidad de la información del paciente. Lea nuestra política privada.


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.





Annual Updates


Patient Information

You should update this form every year.

Información del Paciente

Debe actualizar este formulario cada año.


Universal Medication Form

A full list of medications will help us give you the best possible care, and prevent chemical conflicts.