{"id":566,"date":"2019-01-04T19:04:30","date_gmt":"2019-01-04T19:04:30","guid":{"rendered":"http:\/\/52.33.53.9\/?page_id=566"},"modified":"2025-10-28T15:10:14","modified_gmt":"2025-10-28T15:10:14","slug":"patient-education-forms","status":"publish","type":"page","link":"https:\/\/carolinaona.com\/staging\/patient-education-forms\/","title":{"rendered":"Patient Education & Forms"},"content":{"rendered":"

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Patient Resources<\/h1>\n

Access your Patient Portal, Download your Patient Forms or Request An Appointment.<\/p>\n

Prior to your appointment, you will need to download the forms listed\u00a0here. Please complete the forms before your scheduled appointment. You will also need a photo ID and insurance information. If you have any questions, please contact our office.<\/p>\n

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Access Patient Portal<\/h4>\n

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Medical Records Portal<\/h4>\n

[\/et_pb_text][et_pb_text admin_label=”Title” _builder_version=”4.27.4″ text_font=”||||||||” text_line_height=”2em” header_font=”||||||||” header_2_font=”||||||||” header_4_font=”|700|||||||” header_4_letter_spacing=”1px” background_color=”rgba(255,255,255,0)” custom_margin=”|10px|0px|” custom_padding=”30px|0px|20px||false|false” custom_padding_tablet=”22px||12px” custom_padding_phone=”” custom_padding_last_edited=”on|phone” animation_style=”slide” animation_direction=”left” animation_intensity_slide=”20%” animation_starting_opacity=”100%” hover_transition_duration=”150ms” link_option_url=”https:\/\/carolinaona.com\/staging\/wp-content\/uploads\/2025\/10\/MEDICAL-RELEASE-2025-3.pdf” hover_enabled=”0″ header_4_font_size_tablet=”14px” header_4_font_size_phone=”” header_4_font_size_last_edited=”on|tablet” border_radii=”||||” border_color_all=”rgba(149,173,193,0.21)” border_width_bottom=”1px” box_shadow_style=”preset1″ box_shadow_color=”rgba(149,173,193,0.7)” locked=”off” global_colors_info=”{}” custom_padding__hover_enabled=”on” custom_padding__hover=”|||30px” text_text_color__hover=”#ffffff” background_layout__hover_enabled=”on” background_layout__hover=”dark” background__hover_enabled=”on” background_color__hover=”#fb6719″ box_shadow_blur__hover_enabled=”on” box_shadow_blur__hover=”48px” box_shadow_vertical__hover_enabled=”on” box_shadow_vertical__hover=”12px” header_4_text_color__hover=”#ffffff” border_radii__hover=”|20px|||” custom_margin__hover_enabled=”on” custom_margin__hover=”|0px||” sticky_enabled=”0″]<\/p>\n

Medical Release Form<\/h4>\n

[\/et_pb_text][et_pb_text admin_label=”Title” _builder_version=”4.27.4″ text_font=”||||||||” text_line_height=”2em” header_font=”||||||||” header_2_font=”||||||||” header_4_font=”|700|||||||” header_4_letter_spacing=”1px” background_color=”rgba(255,255,255,0)” custom_margin=”|10px|0px|” custom_padding=”30px|0px|20px||false|false” custom_padding_tablet=”22px||12px” custom_padding_phone=”” custom_padding_last_edited=”on|phone” animation_style=”slide” animation_direction=”left” animation_intensity_slide=”20%” animation_starting_opacity=”100%” hover_transition_duration=”150ms” link_option_url=”https:\/\/carolinaona.com\/staging\/wp-content\/uploads\/2025\/10\/Form-Policy-2026.pdf” header_4_font_size_tablet=”14px” header_4_font_size_phone=”” header_4_font_size_last_edited=”on|tablet” border_radii=”||||” border_color_all=”rgba(149,173,193,0.21)” border_width_bottom=”1px” box_shadow_style=”preset1″ box_shadow_color=”rgba(149,173,193,0.7)” locked=”off” global_colors_info=”{}” custom_padding__hover_enabled=”on” custom_padding__hover=”|||30px” text_text_color__hover=”#ffffff” background_layout__hover_enabled=”on” background_layout__hover=”dark” background__hover_enabled=”on” background_color__hover=”#fb6719″ box_shadow_blur__hover_enabled=”on” box_shadow_blur__hover=”48px” box_shadow_vertical__hover_enabled=”on” box_shadow_vertical__hover=”12px” header_4_text_color__hover=”#ffffff” border_radii__hover=”|20px|||” custom_margin__hover_enabled=”on” custom_margin__hover=”|0px||”]<\/p>\n

Short Term Disability\/FMLA Form Policy<\/h4>\n

[\/et_pb_text][et_pb_text admin_label=”Title” _builder_version=”4.27.0″ text_font=”||||||||” text_line_height=”2em” header_font=”||||||||” header_2_font=”||||||||” header_4_font=”|700|||||||” header_4_letter_spacing=”1px” background_color=”rgba(255,255,255,0)” custom_margin=”|10px|0px|” custom_padding=”30px|0px|20px||false|false” custom_padding_tablet=”22px||12px” custom_padding_phone=”” custom_padding_last_edited=”on|phone” animation_style=”slide” animation_direction=”left” animation_intensity_slide=”20%” animation_starting_opacity=”100%” hover_transition_duration=”150ms” link_option_url=”https:\/\/carolinaona.com\/staging\/wp-content\/uploads\/2024\/09\/NP-Packet.pdf” header_4_font_size_tablet=”14px” header_4_font_size_phone=”” header_4_font_size_last_edited=”on|tablet” border_radii=”||||” border_color_all=”rgba(149,173,193,0.21)” border_width_bottom=”1px” box_shadow_style=”preset1″ box_shadow_color=”rgba(149,173,193,0.7)” locked=”off” global_colors_info=”{}” custom_padding__hover_enabled=”on” custom_padding__hover=”|||30px” text_text_color__hover=”#ffffff” background_layout__hover_enabled=”on” background_layout__hover=”dark” background__hover_enabled=”on” background_color__hover=”#fb6719″ box_shadow_blur__hover_enabled=”on” box_shadow_blur__hover=”48px” box_shadow_vertical__hover_enabled=”on” box_shadow_vertical__hover=”12px” header_4_text_color__hover=”#ffffff” border_radii__hover=”|20px|||” custom_margin__hover_enabled=”on” custom_margin__hover=”|0px||”]<\/p>\n

New Patient Packet<\/h4>\n

[\/et_pb_text][et_pb_text admin_label=”Title” _builder_version=”4.18.1″ text_font=”||||||||” text_line_height=”2em” header_font=”||||||||” header_4_font=”|700|||||||” header_4_letter_spacing=”1px” background_color=”rgba(255,255,255,0)” custom_margin=”|10px|0px|” custom_padding=”30px|0px|20px||false|false” custom_padding_tablet=”22px||12px” custom_padding_phone=”” custom_padding_last_edited=”on|phone” animation_style=”slide” animation_direction=”left” animation_intensity_slide=”20%” animation_starting_opacity=”100%” hover_transition_duration=”150ms” link_option_url=”https:\/\/carolinaona.com\/staging\/wp-content\/uploads\/2022\/11\/Business-Policy-Nov-2022.pdf” link_option_url_new_window=”on” header_4_font_size_tablet=”14px” header_4_font_size_phone=”” header_4_font_size_last_edited=”on|tablet” border_radii=”||||” border_color_all=”rgba(149,173,193,0.21)” border_width_bottom=”1px” box_shadow_style=”preset1″ box_shadow_color=”rgba(149,173,193,0.7)” locked=”off” global_colors_info=”{}” custom_padding__hover_enabled=”on” custom_padding__hover=”|||30px” text_text_color__hover=”#ffffff” background_layout__hover_enabled=”on” background_layout__hover=”dark” background__hover_enabled=”on” background_color__hover=”#fb6719″ box_shadow_blur__hover_enabled=”on” box_shadow_blur__hover=”48px” box_shadow_vertical__hover_enabled=”on” box_shadow_vertical__hover=”12px” header_4_text_color__hover=”#ffffff” border_radii__hover=”|20px|||” custom_margin__hover_enabled=”on” custom_margin__hover=”|0px||”]<\/p>\n

Business Policy<\/h4>\n

[\/et_pb_text][et_pb_text admin_label=”Title” _builder_version=”4.16″ text_font=”||||||||” text_line_height=”2em” header_font=”||||||||” header_4_font=”|700|||||||” header_4_letter_spacing=”1px” background_color=”rgba(255,255,255,0)” custom_margin=”|10px|0px|” custom_padding=”30px|0px|20px||false|false” custom_padding_tablet=”22px||12px” custom_padding_phone=”” custom_padding_last_edited=”on|phone” animation_style=”slide” animation_direction=”left” animation_intensity_slide=”20%” animation_starting_opacity=”100%” hover_transition_duration=”150ms” link_option_url=”https:\/\/carolinaona.com\/staging\/wp-content\/uploads\/2022\/01\/Your-Rights-Protection-Against-Surprise-Medical-Bills.pdf” link_option_url_new_window=”on” header_4_font_size_tablet=”14px” header_4_font_size_phone=”15px” header_4_font_size_last_edited=”on|phone” border_radii=”||||” border_color_all=”rgba(149,173,193,0.21)” border_width_bottom=”1px” box_shadow_style=”preset1″ box_shadow_color=”rgba(149,173,193,0.7)” locked=”off” global_colors_info=”{}” custom_padding__hover_enabled=”on” custom_padding__hover=”|||30px” text_text_color__hover=”#ffffff” background_layout__hover_enabled=”on” background_layout__hover=”dark” background__hover_enabled=”on” background_color__hover=”#fb6719″ box_shadow_blur__hover_enabled=”on” box_shadow_blur__hover=”48px” box_shadow_vertical__hover_enabled=”on” box_shadow_vertical__hover=”12px” header_4_text_color__hover=”#ffffff” border_radii__hover=”|20px|||” custom_margin__hover_enabled=”on” custom_margin__hover=”|0px||”]<\/p>\n

Your Rights & Protections Against Surprise Medical Bills<\/h4>\n

[\/et_pb_text][et_pb_text admin_label=”Title” _builder_version=”4.16″ text_font=”||||||||” text_line_height=”2em” header_font=”||||||||” header_4_font=”|700|||||||” header_4_letter_spacing=”1px” background_color=”rgba(255,255,255,0)” custom_margin=”|10px|0px|” custom_padding=”30px|0px|20px||false|false” custom_padding_tablet=”22px||12px” custom_padding_phone=”” custom_padding_last_edited=”on|phone” animation_style=”slide” animation_direction=”left” animation_intensity_slide=”20%” animation_starting_opacity=”100%” hover_transition_duration=”150ms” link_option_url=”https:\/\/carolinaona.com\/staging\/wp-content\/uploads\/2019\/01\/NOTICE-OF-PRIVACY-POLICIES-AND-PRACTICES-2017.pdf” header_4_font_size_tablet=”14px” header_4_font_size_phone=”” header_4_font_size_last_edited=”on|tablet” border_radii=”||||” border_color_all=”rgba(149,173,193,0.21)” border_width_bottom=”1px” box_shadow_style=”preset1″ box_shadow_color=”rgba(149,173,193,0.7)” locked=”off” global_colors_info=”{}” custom_padding__hover_enabled=”on” custom_padding__hover=”|||30px” text_text_color__hover=”#ffffff” background_layout__hover_enabled=”on” background_layout__hover=”dark” background__hover_enabled=”on” background_color__hover=”#fb6719″ box_shadow_blur__hover_enabled=”on” box_shadow_blur__hover=”48px” box_shadow_vertical__hover_enabled=”on” box_shadow_vertical__hover=”12px” header_4_text_color__hover=”#ffffff” border_radii__hover=”|20px|||” custom_margin__hover_enabled=”on” custom_margin__hover=”|0px||”]<\/p>\n

Privacy Policy<\/h4>\n

[\/et_pb_text][et_pb_text admin_label=”Title” _builder_version=”4.21.0″ text_font=”||||||||” text_line_height=”2em” header_font=”||||||||” header_4_font=”|700|||||||” header_4_letter_spacing=”1px” background_color=”rgba(255,255,255,0)” custom_margin=”|10px|0px|” custom_padding=”30px|0px|20px||false|false” custom_padding_tablet=”22px||12px” custom_padding_phone=”” custom_padding_last_edited=”on|phone” animation_style=”slide” animation_direction=”left” animation_intensity_slide=”20%” animation_starting_opacity=”100%” hover_transition_duration=”150ms” link_option_url=”https:\/\/scdhec.gov\/contact-us-0″ header_4_font_size_tablet=”14px” header_4_font_size_phone=”” header_4_font_size_last_edited=”on|tablet” border_radii=”||||” border_color_all=”rgba(149,173,193,0.21)” border_width_bottom=”1px” box_shadow_style=”preset1″ box_shadow_color=”rgba(149,173,193,0.7)” locked=”off” global_colors_info=”{}” custom_padding__hover_enabled=”on” custom_padding__hover=”|||30px” text_text_color__hover=”#ffffff” background_layout__hover_enabled=”on” background_layout__hover=”dark” background__hover_enabled=”on” background_color__hover=”#fb6719″ box_shadow_blur__hover_enabled=”on” box_shadow_blur__hover=”48px” box_shadow_vertical__hover_enabled=”on” box_shadow_vertical__hover=”12px” header_4_text_color__hover=”#ffffff” border_radii__hover=”|20px|||” custom_margin__hover_enabled=”on” custom_margin__hover=”|0px||”]<\/p>\n

SC DHEC<\/h4>\n

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Medicare Ombudsman\u00a0<\/h4>\n

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Meet Our Awarded Specialists<\/h2>\n

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Patient Resources Access your Patient Portal, Download your Patient Forms or Request An Appointment. Prior to your appointment, you will need to download the forms listed\u00a0here. Please complete the forms before your scheduled appointment. You will also need a photo ID and insurance information. If you have any questions, please contact our office.Access Patient PortalMedical […]<\/p>\n","protected":false},"author":19,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","inline_featured_image":false,"footnotes":"","_yoast_wpseo_title":"Patient Education Forms | CONA","_yoast_wpseo_metadesc":"Patient Portal, Request an appointment or download patient forms. Download these forms before your appointment.","_yoast_wpseo_opengraph-title":"","_yoast_wpseo_opengraph-description":"","_yoast_wpseo_twitter-title":"","_yoast_wpseo_twitter-description":"","_yoast_wpseo_canonical":"","_yoast_wpseo_focuskw":"patient education forms","_yoast_wpseo_meta-robots-noindex":"","_yoast_wpseo_meta-robots-nofollow":"","rank_math_title":"Patient Education Forms | CONA","rank_math_description":"Patient Portal, Request an appointment or download patient forms. Download these forms before your appointment.","rank_math_facebook_title":"","rank_math_facebook_description":"","rank_math_twitter_title":"","rank_math_twitter_description":"","rank_math_canonical_url":"","rank_math_focus_keyword":"patient education forms","rank_math_robots":null},"class_list":["post-566","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/carolinaona.com\/staging\/wp-json\/wp\/v2\/pages\/566","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/carolinaona.com\/staging\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/carolinaona.com\/staging\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/carolinaona.com\/staging\/wp-json\/wp\/v2\/users\/19"}],"replies":[{"embeddable":true,"href":"https:\/\/carolinaona.com\/staging\/wp-json\/wp\/v2\/comments?post=566"}],"version-history":[{"count":4,"href":"https:\/\/carolinaona.com\/staging\/wp-json\/wp\/v2\/pages\/566\/revisions"}],"predecessor-version":[{"id":6724,"href":"https:\/\/carolinaona.com\/staging\/wp-json\/wp\/v2\/pages\/566\/revisions\/6724"}],"wp:attachment":[{"href":"https:\/\/carolinaona.com\/staging\/wp-json\/wp\/v2\/media?parent=566"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}