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Chapin Orthopedic Surgical Center Patient Forms

Prepare ahead to save time and focus on your recovery.

We understand that your time is valuable. To make your visit to Chapin Orthopedic Surgical Center as efficient as possible, we encourage all patients to complete the necessary forms before their appointment. By filling out these forms in advance, you help us streamline the registration process, allowing our team to focus on providing you with the best care possible. Whether you’re a new patient or updating your information, our easy-to-access online forms will help you get started quickly.

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Additional Resources


At Chapin Orthopedic Surgical Center, patient medical records are kept strictly confidential. Before we can release any records, patients must sign an authorization form. If you are scheduled for a diagnostic test, please request your X-rays with at least a 24-hour notice.


We recognize that your time is valuable. Appointments and surgeries are scheduled promptly. Patients are seen by appointment only, except in cases of an emergency. Please call as far in advance as possible to make an appointment. If you cannot keep an appointment, please notify our office at least 24 hours in advance of your scheduled appointment time.


New patients are required to register before their first appointment by calling our receptionist. Be prepared to provide insurance and demographic information during the registration process. If you are a returning patient, please notify the receptionist of any changes in name, address, telephone number, or insurance coverage.

Download


Download the Chapin Orthopedic Surgery Center Outpatient Total Joint Program to guide and prepare you for joint replacement surgery.

Download

We accept most insurance plans, including Medicaid. We are happy to help you with claims filing. We commonly accept payment assistance from:

  • Aetna
  • BlueCross/BlueShield
  • Carolina Care Plan
  • Cigna
  • United Healthcare
  • Medicare
  • Medcost
  • Premier
  • Planned Administrators
  • Some Medicare Advantage Plans

If you don’t see your insurance plan listed here, or would like to discuss other payment options, please call us today at (803) 941-8095.


When you get emergency care, or when you’re treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, you are protected from surprise billing or balance billing. Know your rights! Download the packet below to learn more.

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It is important to keep your body strong and flexible both before and after your joint replacement surgery. Download the Total Hip and Knee Replacement Surgery Exercises to help speed up recovery and rehabilitation.

Download

Online Payments

To conveniently pay your bill online, simply enter the account number found on your bill and proceed to our secure PayPal checkout.

Account Number

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