Workers’ Compensation Appointment

Thank you for entrusting OrthoSC with your employees' or claimants' orthopedic care. We are here to serve you as you care for your workers' compensation patients.

Please fill out the form below, and we will contact your employee or claimant directly within 24 hours to schedule an appointment.

To speak with a scheduler, please call us at (843) 353-3460.

Case Manager Contact Information

Name *

Phone Number *

Email Address *

Fax Number

Patient Information

Patient Name *

Patient Date of Birth *

Patient Phone Number *

Patient Email Address *

Insurance Information

Workers' Compensation Carrier *

Billing Address *

Adjuster and Contact Information *

Date of Injury *

State of Injury *

Appointment Information

Doctor Preference

Is there a time of day preference?

No Preference

Morning

Afternoon

If requesting to be seen immediately, please call one of our offices at (843) 353-3460.

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Conway

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Murrells Inlet

Myrtle Beach – Carolina Forest

Myrtle Beach – Market Common