We also accept Visa and Mastercard payments at time of service.

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                                  New Patient Forms


Please feel free to download our forms and send them in by mail or by fax for pre-registration and insurance verification.


Please include a copy of your insurance card (front and back) and mail or fax these forms to:


TLM Medical Services, LLC

Attention: Patient Services

1707 Bernardin Avenue, Suite C

Columbia, SC  29204

(803) 376-8004 fax