HOUSECALLS-MD
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    • Staff
    • Join Our Team
  • Become Our Patient
    • New Patient Forms
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Become Our Patient

We are taking new patients!

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To schedule an appointment:  
  • Call: 843-501-2031 ​
  • or email info@housecalls-md.com

We have a few forms to fill out before your first appointment (our Registration Packet and Medical History form).  We Also need Copies of insurance cards and drivers license.  

Get Started by digitally completing or downloading  our  
These must be filled out and returned so we can bill insurance in timely manner. The Authorization form must be signed by the patient or by the patient’s POA (Power of Attorney). If signed by the POA, please provide documentation of the relationship.

Feel free to contact us if you need help with registration. We can mail, e-mail or fax forms to you or you can download forms from our web site. Our staff will even help you fill them out over the phone.
Please return the forms to us:
  • Fax to 843-884-6146
  • E-mail to Info@housecalls-md.com
  • Mail to:  HouseCalls-MD PO Box 41189
                                                 NORTH CHARLESTON, SC 29423

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Home | About Us | Our Services | Payment Options | Become Our Patient | Forms | Contact Us
Phone: 843-501-2031 | Fax: 843-884-6146
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  • Our Providers
    • Staff
    • Join Our Team
  • Become Our Patient
    • New Patient Forms
    • Payment Options
  • Virtual Visit
    • Additional Services
  • Patient Portal
  • Social Media
    • In The Media
    • Contact Us
  • Wellness Program
  • Wellness Resources
    • Community Resources
  • Coronavirus Information