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If you have not yet scheduled an appointment, either click on Appointment Requests above, or call us at (336) 226-2448. If you would like to request a specific provider, please let us know at that time. On the day of your visit, please plan to arrive 15 minutes before your appointment time. Ample parking is available just outside the building. If you are a new patient, please bring to your appointment a signed, completed copy of these forms:
If your insurance information has changed since your last visit, please complete and sign a new Insurance Form. When you arrive, please let us know of any changes in your health history or any specific needs. We're looking forward to seeing you soon. |
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Related Documents:
- CFP_Warfarin-Coumadin_Consent_Form.pdf
Coumadin Use Consent Form - CFP_Minor_Authorization_Consent_Form.pdf
Consent for treatment of minor child - CFP_Controlled_Substance_Agreement_Form.pdf
Controlled Substance Agreement Form - CFP_Consent_to_use_Email.pdf
Email usage consent form - CFP_Family_Member_Consent_Form.pdf
- CFP_Narcotic_Medication_Treatment_Agreement-1.pdf
- CFP_Informed_Consent_Competency_Reqirements.pdf
- CFP_Informed_Consent_for_Minors.pdf
- CFP_Patient_Consent_Form.pdf
Patient Consent Form. Please fill out and print to bring to your first visit.