Forms & Payment


To expedite your visit, please complete the forms below and bring them with you when you come in for your appointment.

Also, please bring the following: 

 

Photo ID

Insurance Card

Medications or Medications List

 

Fees charged in our office are the usual and customary for our speciality.  For your convenience payments for office visits may be made by cash, check or credit card.  If you are experiencing a financial hardship, you may qualify for coverage under the Roper St. Francis Healthcare Financial Assistance Program.  Please ask one of our office staff for more information or contact the Customer Service Department at (843) 402-5200 or (800) 242-9990.

Forms bullet Reproducing Records Information
 
Forms bullet Release Form
 
Forms bullet Prescription Policy
 
Forms bullet Notice of Privacy Practices
 
Forms bullet New Patient Form (male) - Dr. Aymond's Patients Only
 
Forms bullet New Patient Form (female) - Dr. Aymond's Patients Only
 
Forms bullet New Patient Form - Dr. Schoderbek's Patients Only
 
Forms bullet New Patient Form - Dr. Price's Patients Only
 
Forms bullet New Patient Form - Dr. Ohlson's Patients Only
 
Forms bullet New Patient Form - Dr. Graham's Patients Only
 
Forms bullet New Patient Form - Dr. Ernst's Patients Only
 
Forms bullet New Patient Form - Dr. Caldwell's Patients Only
 



OFFICE HOURS

Mon. - Fri.   8:30 a.m. - 5 p.m.

An on-call doctor is available 24 hours/day for urgent needs.
You will have the ability to Renew Prescriptions with MyHealth.
You will be able to schedule appointments with MyHealth.
Home  :  Privacy Statement  :  2093 Henry Tecklenburg Drive, Suite 200  :  Charleston, South Carolina 29414  :  (843) 958-2500
© 2010 Roper St. Francis Healthcare

Orthopaedic Specialists of Charleston - Orthopaedic Surgery Charleston Roper St. Francis Healthcare