Colorectal Surgery Email Submission Form

If you would like to email us with general questions, complete the form below. One of our office members will contact you within 48 hours. If you need immediate assistance during normal business hours Monday-Friday, please call the office at (843) 958-1281. If you have medical-related questions, please use MyChart patient portal.

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Form

Doctor:*

Name:*

DOB:*

Phone Number:*

Comments:*

 
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