Patient Information
Appointments
To make an appointment, please call 843-556-0116.
In order to receive a mammogram at the CBC, a woman must have an order from her physician. You may bring this in at the time of your visit or your physician can fax it to our center.
Be aware there are many different types of insurance. You are responsible for verifying your breast health coverage and any deductibles or co-pays.
Forms
Please print the forms below and fill them out prior to your appointment, or arrive 20 minutes early.
Paperwork is still a normal process in our office. For your first visit you will need to fill out the following forms: the Charleston Breast Center Notice of Privacy Practice and the Charleston Breast Center History Form.
If you are an established patient you will need to update the patient information sheet for each visit.
If you have had breast imaging done previously at another facility, we will need these films for comparison. If you have these, please bring them to your visit. If you need to request these from a facility you may fill out the Request for Imaging Form and we will send in the request.
For patients needing an MRI, the MRI Contrast Safety Screening Form needs to be filled out. If you are a new patient, you will also need to fill out the first visit forms mentioned above.
If you need to have copies of your breast imaging done at the CBC, please fill out the Release of Medical Information Form so that we fulfill your request.