If you are a physician's office desiring to refer a patient to us, please click on the PDF button below to access our new patient paperwork.  

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Once completed, patients can fill out ahead of time and bring with them to their appointment.  Or you can fax it to us at 843-800-7364. We'll take it from there and contact the patient to arrange for a convenient appointment time.  

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If you have questions about referring a patient, please call us at 843-383-5312.

We appreciate your kind referral and thank you for entrusting us with the care of your patient.