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We Always Welcome New Patients To Our Practice
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Once you have received confirmation of a scheduled appointment, you
may download
the following forms or click here
to complete them online.
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Please fill them out and bring them with
you or fax them in advance to 336-983-5738:
1. Click on the form listed
below to download.
2. Please print each form and
fill out completely.
3. Mail, fax or bring completed
forms to your first visit.
Click To Download
Selected Form
Patient Information Form.pdf
[coming soon]
Patient Medical History Form.pdf
[coming soon]
To view and print
forms,
you will need Acrobat Reader.
Click below to download
