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J. Henk Burger, MD
Thomas J. Maino, MD
Kacie Moody, PA-C



Dorchester
Medical
Associates



Ph: 843.875.7901



J. Henk Burger, MD
Thomas J. Maino, MD
Kacie Moody, PA-C



Dorchester
Medical
Associates



Ph: 843.875.7901



J. Henk Burger, MD
Thomas J. Maino, MD
Kacie Moody, PA-C



Dorchester
Medical
Associates



Ph: 843.875.7901



J. Henk Burger, MD
Thomas J. Maino, MD
Kacie Moody, PA-C



Dorchester
Medical
Associates



Ph: 843.875.7901



J. Henk Burger, MD
Thomas J. Maino, MD
Kacie Moody, PA-C



Dorchester
Medical
Associates



Ph: 843.875.7901



J. Henk Burger, MD
Thomas J. Maino, MD
Kacie Moody, PA-C



Dorchester
Medical
Associates



Ph: 843.875.7901



Forms & Informational Sheets



NEW PATIENTS





For all NEW PATIENTS or patients whose information may have substantially changed since their last visit.



EXISTING PATIENTS





For EXISTING PATIENTS whose information is already recorded and on file with our practice.



PRIVACY PRACTICES





Information required by the privacy regulations created as a result of the Health Insurance Portability and Accountability Act of 1996 (HIPAA).



CHILD DEVELOPMENT





Progress Tracker for ages 6 mos. to 5 yrs. Well Child Checklist ages 6 yrs. to 21 yrs.


location | directions
meet our team
privacy practices

102 Harth Place | Summerville, SC 29485 (email access)