135 Commonwealth Dr #230 | Greenville, SC 29615 | Phone: (864) 365-0250 | Fax: (864) 365-0251
I give my consent for Commonwealth Women's Care to discuss patient's medical care and payment for medical care with the following people:
Please click here to read our Notice of Privacy Practices
If you answered yes to the last question, please be sure to complete the Medical Records Release form.
Please click here to read our Patient financial Policy.
Please pay special attention to the sections on BCBS State Annual and Missed Appointments, and click below to indicate your understanding.
Please answer every question.