Patient Registration Forms


 

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)

New Patient Papwerwork (Spanish)

Blue Crosss Blue Shield 

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

Our Locations

Choose your preferred location