PLEASE READ THE FOLLOWING INSTRUCTIONS CAREFULLY BEFORE PROCEEDING.

The forms below are for after you have completed an initial evaluation. THEY ARE REQUIRED BEFORE SCHEDULING SURGERY. If you would like assistance with preparing or submitting these forms, please contact Evelyn at (803) 933-6170 or email at This email address is being protected from spambots. You need JavaScript enabled to view it..

Pre-Op Forms

There are two ways to complete your Pre-op Forms. You may download the forms and submit via mail/email or you may go through the online submission process (if available). All download files are in Adobe Acrobat format. If you do not have the Adobe Acrobat reader, you can download it here.

For All Patients

General

• Private Pay Agreement (Medicare only)
  • Complete form online
  • Or download fillable PDF
• Mission Statement and Disclosure Form
• Please read our Notice of Privacy Practices
• CBC Request (Your PCP can order this.)
• Read through the Insurance Information section carefully.

HIP

Patient Care Paths

• Hip Surgery Care Path

Surgical Risk Disclosure

• Hip Resurfacing Consent Form
• Total Hip Arthroplasty Consent Form

KNEE

Patient Care Paths

• Knee Surgery Care Path

Surgical Risk Disclosure

• Knee Arthroplasty Consent Form