Carolina Pediatrics

• Registration Form
• Patient Update
• Notice of Privacy Practices
• Financial Policy
• Release Form
• Sports Physical Information
• Oral Health
• Notice Regarding Third Party Liability
• HIPAA Form

Downtown Office (map)
2113 Adams Grove, Suite 101
Columbia, SC 29203
Ph# 803-256-0531 | Fax# 803-765-9052

Irmo Office (map)
1033 Kinley Road
Irmo, SC 29063
Ph# 803-376-2838  | Fax# 803-781-7977

Office Hours:
Monday – Friday 8:00 a.m. to 5:00 p.m.
Saturday 9:00 a.m. – 12:00 p.m. (Downtown office only)

• Photo ID
• Insurance Card
• You may be asked to update your personal information or complete an updated HIPAA form, please allow extra time for check-in.
• If your child is scheduled for an ADHD Consult or follow up appointment, please make sure any and all Vanderbilt scales for parent and teachers are completed for doctor review.