Patient Resources | Midlands Orthopaedics - Orthopedic Surgery South Carolina

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Patient Resources

Submit Your New Patient Packet Online

Submit Your Follow-Up Form for Return Visits Online
All providers except Gross/Webb, LaMotta/Blanks, Piehl/Schaller, Redmond & Wetzel

Submit Online Bill Payment

Our Financial Policy & Insurance Info

DOWNLOAD FORMS:

These forms are available as Adobe PDF.

Meningitis Outbreak Information

Appointment Referral Forms

Patient Referral Form

Pediatric Referral Form

Emergency Referral Form

Physician Referral for EMG & ESI 2013-3-28

Wound Care Referral

MRI Referral Form

Patient Information & Forms

2013-3-13 New Patient Packet

New Patient Form for Dr. LaMotta

Follow-Up Form for Return Visits with Dr. LaMotta only

Follow-Up Form for Return Office Visits_all providers except Gross/Webb, LaMotta/Blanks, Piehl/Schaller, Redmond & Wetzel

Epidural Steroid Injection Information Sheet (5/2013)

Botulinum Toxin Injection

Pudendal Nerve Study

The EMG Examination

Disability Form Packet

FMLA Form Completion Information

Private Payment Agreement for Patients with Medicare

BCBS My Insurance Manager Access

BCBS Accident Questionnaire

Financial Information for Fracture Patients

Pre Op Instruction for Surgery at Midlands Orthopaedics Surgery Center

Surgery Instructions for Surgery at Providence Northeast Hospital

What's With the Wait?

Medical Records Release

Medical Records Release Packet

Notice of Privacy Practices

Notice of Privacy Practices -- Spanish version