Toll Free: 866-SPINE-50 (866-744-6350)
Mt. Pleasant
1106 Chuck Dawley Blvd.
Mt. Pleasant, SC 29464
West Ashley
1941 Savage Rd, 100E
Charleston, SC 29407
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The Southeastern Spine Institute
New Patient Packet

Page 1 of 12

The following is the online version of our New Patient Packet. Please allow 30 minutes or so to fill out and submit to Southeastern Spine via email.

Please review the following information and click CONTINUE.

If you need to reschedule please do so within 48 hours of a scheduled appointment.

If you arrive late for your appointment, we may need to reschedule your appointment.

You will need to bring the following:

  • INSURANCE INFORMATION
  • DRIVER'S LICENSE OR PICTURE IDENTIFICATION

Bring the following if you have:

  • X-RAYS
  • CT SCANS
  • MRI SCANS
  • ATTORNEY INFORMATION

If you have difficulty obtaining these records, please call us and we will assist you.

Without records, it may be necessary to reschedule your appointment.

Pease contact us at 843-849-1551 if you have any additional questions.

Click here for a map to our location.

I have read the information above (you must click this to continue).

 

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Our AAAHC accreditation and ACR accreditation means you will receive the best possible spinal care.