Please click on each icon, downloading should start instantly if you have any problems please contact us at (704-910-8380)
Notice of Privacy Practices (English)
Notice of Privacy Practices (Spanish)
New Patient Paperwork (English)
- Varicose Vein – First Patient Visit Details
- Arterial – First Patient Visit Details
- Financial Policy
- SCGVS Demographics
- Consent to Care
- Medical Record Request
- US Notice of Pirvacy Practices and Consent for Use of PHI
- Medication Questionnaire
- Protected Health Information
New Patient Paperwork (Spanish)
- Financial Policy
- SCGVS Demographics
- Consent to Care
- Medical Record Request
- US Notice of Pirvacy Practices and Consent for Use of PHI
- Medication Questionnaire
- Protected Health Information
Blue Crosss Blue Shield
- Assignment of Benefits Blue Value (English)
- Professional Fees Blue Value (English)
- Assignment of Benefits Blue Value (Spanish)
- Professional Fees Blue Value (Spanish)
Patient Fusion (English)
Please click the link above, this will send you to a new window.
We will send you a email with all of the details with a username and a temporary password
Patient Fusion (Spanish)
Por favor, haga clic en el enlace de arriba, este le enviará a una nueva ventana.
Le enviaremos un correo electrónico con todos los detalles con un nombre de usuario y una contraseña temporal
