Forms & Payment


New Patients:
Palmetto Podiatry is accepting new patients. Most insurance plans are accepted. Please call our office regarding your insurance questions. Insurance verification is recommended prior to your appointment.


Scheduling and Cancellations:

Please call our office to schedule an appointment. If you are unable to make your appointment, please notify us 24 hours in advance.


What to bring to your appointment:
Insurance card
Names of your other doctors
List of all current medications or bring them with you
Any online forms you filled out prior to your appointment
Recent medical records or X-rays will be helpful and may save you time and charges if you are seeking a second opinion or transferring your care.


When to arrive:
Please arrive 15 minutes before your scheduled appointment time to complete any forms. We strive to stay on schedule and do not double-book our patients.  

Please note that all co-pays are expected to be paid at the time of service.



Forms bullet Patient History Form
 
Forms bullet Notice of Information Practices Form
 
Forms bullet New Patient Demographic Form
 
Forms bullet Authorization Medical Release Form
 
Forms bullet Accident / Injury Report
 



 

For your conveniece, Dr. Marino is now seeing patients at Eagle Landing Adult Medicine on Tuesdays from

8:30 a.m. - 12 noon.

You will have the ability to Renew Prescriptions with MyHealth.
You will be able to schedule appointments with MyHealth.
Home  :  Privacy Statement  :  3510 US Highway 17N  :  Suite 110  :  Mount Pleasant, South Carolina 29466  :  (843) 881-9159
© 2012 Roper St. Francis Healthcare

Charleston Podiatrist | Mt Pleasant Foot Doctor | Palmetto Podiatry Mount Pleasant Roper St. Francis Healthcare