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
- You can download and complete our patient form(s) prior to your appointment.
- You will need AdobeReader® 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)
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