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
2701 Middleburg Drive
Columbia, SC 29204
(803) 376-8004 fax

Medical History
Demographic Form
Medical Release Form
Privacy Practice
Summary of Notice of Privacy Practice
Office Policy
Authorization for Release of Medical Records