access intranet after hours circle-arrow apply blog caret circle arrow close closer look community outreach community outreach contact contact us down arrow facebook lock solid find a provider find a clinical trial find a provider find a researcher find faculty find-a-service how to apply join leadership left arrow locations logo make a gift map location maximize minimize my chart my chart notification hp notification lp next chevron right nxt prev pay your bill play previous quality and safety refer a patient request a speaker request appointment request an appointment residents corner rss search search jobs Asset 65 submit a story idea symptom checker Arrow Circle Up twitter youtube Dino Logo External Link University Logo Color University Logo Solid Health Logo Solid Arrow Right Circle Book Calendar Date Calendar Search Date Diploma Certificate Dollar Circle Donate Envelope Graduation Cap Map Pin Map Search Phone Pills Podcast
Image of pasta salad

Focus Carolina: 23 Registration Form

Thank you for deciding to join the Focus Carolina: 23 program. Please fill out the form below to begin the registration process.

Identifying Information




Address and Phone









Payments and Discounts


Please indicate the amount of your payment by selecting one of the radio buttons below. If you are eligible for any discounts, you must also select one or two of the check boxes below the payment amounts.

Note that the full cost of the program is $2050, but if you pay in full with credit card the price is reduced to $1950.


Upon clicking submit, you will be redirected to the SC.gov website for secure payment processing. Additionally SC.gov will email you a receipt of payment.