Online Forms

At Palmetto Eye, we value your time. Click the link below to fill out your New Patient Forms online and skip the paper altogether!

New Patient Online Forms

Medical history form

--OR--

  • You can download and complete our patient form(s) prior to your appointment.
  • You will need AdobeReaderĀ® to download and complete the forms. Print out the form(s) and complete the required information.
  • Fax your printed and completed form(s) to our office at (803) 985-2021 or bring them with you to your appointment.


Patient Forms (4 pages)

Download & Print Form



Other Forms:

Medical Records Request from your previous doctor to be sent to us.

Download & Print Form  (medical-records-release.pdf)

Medical Records Request for our records to be sent to another doctor.

Download & Print Form (patient-medical-records-release-to-another-doctor.pdf)

HIPAA Notice of Privacy Practices

notice-of-privacy-practice-091713.pdf



Download the Free AdobeReaderĀ®

Contact Us

We look forward to hearing from you

Hours of Operation

Our Regular Schedule

Monday

8:30 am - 5:00 pm

Tuesday

8:30 am - 6:00 pm

Wednesday

8:30 am - 5:00 pm

Thursday

8:30 am - 6:00 pm

Friday

8:30 am - 5:00 pm

Saturday

varies

Sunday

Closed

Monday
8:30 am - 5:00 pm
Tuesday
8:30 am - 6:00 pm
Wednesday
8:30 am - 5:00 pm
Thursday
8:30 am - 6:00 pm
Friday
8:30 am - 5:00 pm
Saturday
varies
Sunday
Closed

Location

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