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Serving the Lowcountry and Coastal Empire of Georgia and South Carolina.

SERVICE ALERT

Due to the increased number of cases of COVID-19, we are limiting visitors to our offices and requesting that adult patients come to their appointments alone. Exceptions will be made if assistance or a caregiver is needed. For pediatric patients, please limit to one parent or caregiver, exceptions considered.

If you have any symptoms for COVID-19, do not schedule online. Please call your doctor's office for booking an appointment and before arriving for an in-office visit.

Patient Forms

Authorization for Release of Medical Information (PDF) Allows patients to authorize the disclosure of their health information to a designated individual, company, agency, or facility.
Authorization and Consent for Treatment (PDF) — All patients must provide their consent for treatment, communications (calls, emails, and text messaging), and agreement of financial responsibility. Autorización y Consentimiento Para el Tratamiento.
Preferred Contacts (PDF) — Patients are encouraged to complete and return the Preferred Contacts Form but it is not required. Contactos Preferidos

Pediatric Forms

Pediatrics Registration Form

ADHD Assessment

Screenings

HEADDS Questionaire

Male

Female

SouthCoast Health has 120 physicians and medical professionals in 18 locations in Savannah, Richmond Hill, Pooler, Rincon, Baxley, Bluffton, and Hinesville.