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South Carolina's
Leading
Ophthalmologists
On The Cutting Edge
Current Clinical Trials
EyeConditions
What We Specialize In
Appointment Checklist
Please Remember to...
- Bring your insurance cards.
- Bring your co-pay if one is required by your insurance.
- Obtain a referral from your primary care physician if required by your insurance.
First Appointment?
Please download, print, and fill out these forms to bring with you to your first appointment with us.
Demographics (199 KB)
Medical History Form (196 KB)
Notice of Privacy Practices (146 KB)
Authorization for Release of Information (195 KB)
Consent to Treat (195 KB)
Acknowledgement of Receipt of Notice of Privacy Practices (188 KB)