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PATIENT FORMS

Save Time in the Office

Thank you for selecting Colonial Healthcare in Sumter, Columbia, and Manning, South Carolina. If you would like to save time in the office, you may pre-register by downloading, printing, and completing the forms below. Established patients can update forms online through our patient portal. If you need help accessing the portal, please call the office and we’ll be happy to help.

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Your First Visit

For your first visit, be sure to bring any diagnostic films or other test results that may have been ordered or performed by another physician, as well as any medications that you are currently taking.

Colonial Healthcare Forms:

  • New Patient Registration
  • HIPAA Privacy Practice Notice
  • Designated Party Release
  • Authorization for Release of Information
  • Compound Authorization
  • Worker's Compensation Authorization
  • Cancellation and No Show Policy
  • ACO Participation Letter

Colonial Neurology Forms:

  • EEG Test Information
  • EMG-Nerve Conduction Test Information
  • Lumbar Puncture Test Information

Please note: It may take a few minutes to load the forms if you are using a slow internet connection. If you are unable to view the forms, you may need to download Adobe Acrobat for free by clicking on the icon below.

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Colonial Healthcare is a primary care medical practice, we have primary care providers who specialize in: Medicare Wellness, Pharmacy, Occupational Health, Family Medicine, Urgent Care, Pediatrics, Diagnostic Services, Weight Management, Counseling, Neurology Sleep Medicine,