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Forms

Forms

New Patient Paperwork
Patient Demographics
HIPPA
Form
Patient
History
Patient Financial
Responsibility
Cancellation -
No Show Policy 
Medical Release Form
Authorization for Release of Health Information
HIPAA Privacy Rights and Operations Guide
HIPPA Privacy Rights and
Operations Guide

Insurance

Insurance
In Network
  • Assured Benefit Administrators

  • BCBS

  • MEDICARE 1417

  • AARP Medicare Complete

  • Absolute Total Care

  • Aetna

  • United Healthcare

  • MEDCOST

  • Medicaid of South Carolina

  • WellCare

  • USAA

  • First Choice

  • Cigna

  • UMR

  • Healthy Blue

  • Ambetter

  • Molina Healthcare South Carolina

  • UMR

  • CIGNA HEALTH SPRING

  • WPS – TRICARE FOR LIFE

  • WEB-TPA

  • Trustmark

  • Optun VA CCN

  • UMR

  • Optima Health Plan

Out of Network
  • NEW ERA

  • First Health Network

  • Bright Health Plan

Contact Information

1040 Edgewater Corporate Parkway Suite 101 Indian Land, SC 29707

803 548-7007

803 802-2015

info@palmettomedicalgroup.com

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Contact Us

Hours of Operation

Monday thru Friday:  8:00 am - 5:00 pm
Saturday
​:  Closed

Sunday:  Closed

Copyright © 2024 Palmetto Medical Group. All Rights Reserved.

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