843-342-9100

PHONE (both offices): 843-342-9100   //   FAX: 843-342-9101   Se Habla Español
PHONE (both offices): 843-342-9100   //   FAX: 843-342-9101   Se Habla Español

HILTON HEAD OFFICE  12 Lafayette Place, Suite A, Hilton Head, SC 29926    //    POOLER OFFICE  114 Canal Street, Suite 503, Pooler, GA 31322

Patient Forms

Patient Forms
You may download and print the forms below and bring the completed forms to your appointment.  If the reason for your appointment is related to a condition for which you have already seen another healthcare provider, it is best to bring your medical records (including MRIs and XRAYS) from that other healthcare provider. You can obtain your medical records from other healthcare providers by using the form below called “PATIENT AUTHORIZATION FOR RELEASE OF MEDICAL RECORDS”.
 

If you prefer to have our staff assist you just call us.

Patient Registration Form

For all new patients to complete.  Also please bring a picture I.D. and your insurance cards at the time of your office visit we will need to photocopy those items.

Patient Authorization for Release of Medical Records from Another Medical Provider to our Office

You can use this form to request your medical records from your previous healthcare provider.  Just print the form and fill in the top with the name of the physician, urgent care, or hospital where you were previously treated for this condition.  Then provide this form to the physician, urgent care or hospital where you were treated.  

Patient Registration Form En Español

Para todos los nuevos pacientes para completar. También por favor traiga una foto I.D. y sus tarjetas de seguro al momento de su visita a la oficina, tendremos que fotocopiar esos artículos.

Form for Patients with Blue Cross Insurance

For all patients with Blue Cross insurance.

Form for Patients with Blue Cross Insurance En Español

Para todos los pacientes con seguro de Blue Cross.

Form for Patients with UnitedHealthcare Insurance

For all patients with UnitedHealthcare Insurance.

DR. TOBIN WOULD BE HAPPY TO SET UP A CONSULTATION WITH YOU.

five-stars

“I highly recommend Dr. Tobin. According to the operating room nurses he ties a knot better than anyone else. He has preformed four joint replacement procedures on me. Two knees, a shoulder and a hip. All parts are working well. I am 88 -still active and Happy as a lark! Dr. Tobin is a very good surgeon.”

Bill H

“Dr. TOBIN is my hero ! I broke my hip over 4 years ago in another town and the surgery didn’t work properly. After 3 1/2 years of severe pain and limping my internist recommended Dr. TOBIN for revisional hip surgery. I met with Dr. TOBIN and thank God the man loves a challenge. Now, after revisional surgery, I am 99% pain free, little to no limping and enjoying life again. I am grateful that Dr.TOBIN has enabled me to act my age again! Thank you Dr. TOBIN…. I shall forever be indebted to you and God for my true miracle. I LOVE THIS MAN !”

Jackie T Mack

“Dr. Tobin was very engaging at the recent OrthoNOW conference!”

Bernard Scherer

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