Request an Appointment

Please do not use this form if you have an urgent medical problem or you need to reschedule an existing appointment. Instead, contact our office at (803) 926-2220. After you submit your request, our appointment scheduler will respond within 48 hours. See below for forms to complete.

Patient Registration Forms

Carolina Ear Care in West Columbia, South Carolina welcomes you to our practice. Once you have made your initial appointment, you may pre-register by downloading, printing, and completing the forms below. Please be sure to bring them with you to your first visit, along with any diagnostic films or other test results that may have been ordered or performed by another physician. Completing the forms prior to your visit will help speed up the new patient registration process.

Downloadable Form:

Please note: It may take a few minutes to load the forms if you are using a slow internet connection. If you are unable to view the forms, you may need to download Adobe Acrobat for free by clicking on the icon below.

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Carolina Ear Care

Special Offers

Free Hearing Screening!

$500 off our already low price for Sonic Innovations Hearing Aids or top of the line Hearing aids $3600.00 for the pair!

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Read Our Blog

Stay up to date with the latest treatments for hearing loss, innovations in hearing aids, and other audiology news.

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