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Disability Forms
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Physical Therapy Services in Charleston
Non-discrimination Notice

Frequently Asked Questions

Forms & Policies


Policies

Office Locations

LCO have four convenient locations to serve you. Your physician may practice at one or more of these locations. You will be matched with the location that best meets your need when you schedule your appointment.

Self-Referrals
If your insurance carrier allows self-referrals, you may contact LCO directly without a referral from another doctor. Physician Referrals

If your insurance company requires primary care physician referrals, please schedule your appointment through your primary care physician. If we do not have your primary care physician information at the time of your appointment, or if you do not bring your x-rays or required record from a previous physician, we will need to reschedule your appointment.

Emergencies Outside of Office Hours
In case of an emergency outside of regular office hours including weekends, holidays, or after 5:00PM, call the regular office number and our answering service will contact the on call physician. If you believe the emergency is serious or life threatening, call 911 or go directly to an emergency room for immediate care. Identify yourself as a patient of Lowcountry Orthopaedics and have someone notify our office.

We encourage you to call during office hours for a better chance to reach your regular physician and access your medical records.

Canceling an Appointment

Your appointment time varies according to your doctors hospital rounds and surgery schedule. If you are unable to keep an appointment, we ask that you provide us a minimum of 48 hours notice. This makes it possible to give your appointment to another patient.Failure to notify us of an appointment cancellation may result in a $25 service fee. If you need to be seen immediately, we will do our best to accommodate you. In the event of an unforeseen delay or emergency, we will notify you and give you the option to reschedule.

Waiting Time

At LCO, we consider the unique condition and needs of every patient. We value your time. We make every effort to provide the highest quality care while minimizing your wait time. LCO is a surgical practice and there may be times a surgery takes longer than expected. In the event of an unforeseen delay or emergency, Know that every effort will be made to accommodate for unforeseen delays.

Thank you for your trust in LCO. We look forward to serving you.


Forms


MRI Screen Form

Medical Records Release Form

Independent Medical Evaluation Form

Radiographic Records Request

BCBS Accident Form

Thomas Cooper OHI Form

BCBS OHI

BlueChoice Health Questionnaire

Tricare OHI Questionnaire

Electrodiagnostic Study Request Form

Disability Form Policy and Forms

Portal brochure

Minor Consent

Spanish LOSC Surgery Consent Form / Consentimiento para cirugia en espanol

Spanish LOSC Surgery Handout/ Instrucciones en espanol antes de la cirugia

Spanish LOSC Surgery Procedures/ Instrucciones en espanol para la cirugia

Litigation Assignment - LOP

1.New Patient Forms 2017