Please review our office forms below. You may expedite your registration time by downloading, printing, and completing these documents prior to your initial consultation.

We have also provided our Summary Notice of Client Privacy for your review.

Registration Form

This registration document is available here for download should you prefer to prepare in advance for your initial consultation.

Download Client_Registration.doc
Consent for Consultation

This document provides information regarding your initial consultation as well as our office policies. Please review and sign this prior to your first appointment.

Download Consent_to_Treat__with_HIPAA_info_receipt_acknowledgement_.doc
Medical Records Release

When completed and signed, this document allows you to give us permission to release specified records to or from your provider(s).

Download Records_Release_Authorization__HIPPA_.doc
Client Privacy Notice

This document reviews provider and client rights related to patient confidentiality as well as all privacy policies and procedures.

Download _HIPAA__Form_regarding_PHI__Small__2005-1024.pdf
Instructions for Filing Your Own Insurance Claims

Should you decide to submit insurance claims for reimbursement, please review these important instructions prior to submission to avoid any difficulties or delays in the processing of your claim.

Download IMPORTANT_INSTRUCTIONS_FOR_FILING_YOUR_OWN_INSURANCE_CLAIMS_2005-1121.pdf
Medicare Contract

This contract is an understanding of responsibilities for Medicare patients.  If your provider does not participate with Medicare it is essential that this paperwork be completed and signed prior to your initial consultation. (coming soon)



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250 Mathis Ferry Road, #101 . Mt. Pleasant, SC . Tel 843.971.5171