Patient Forms
Please print out the appropriate forms listed below, fill them in, and bring them to your appointment. If you do not have an appointment please call the Anderson/Seneca office to make one.
Click on the link and the form will open in another browser tab as a pdf file. (You will need a free program called “Adobe Reader” to do this. You can safely download Adobe Reader from this link:
Release Form
Newborn Info Sheet
Child Info Sheet
Adult Info Sheet
Network insurance companies
Medicare B
State BCBS of SC
PAI
Federal BCBS
Some United Health plans
Some BCBS plans
Medicaid (Not Humana)
Please call your insurance company to confirm that we are in network.