We’re committed to keeping clients and staff safe during COVID-19 with NEW admittance and check-out processes. Learn more.

Referral Forms Overview

Patient Referral Form

If you are referring a patient to our hospital, please fill out this referral form and fax or email it to our hospital along with all records, lab work, and radiographs. Radiographs can be sent to us via email or brought by the client to their visit.


Email: [email protected]

Fax: (803) 798-7916

Referral Line: (803) 454-6152

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