If you have decided to set an appointment with me:
Call 704-633-4001 and make your appointment;
Print and complete the Registration form, the Health History form, the Substance Use History form, if applicable, and the Acknowledgement Receipt of Privacy Practices, and bring them to your first appointment;
Be sure to read the Notice of Privacy Practices before your first appointment and print a copy for your records.
-
If any of the following links do not work please report them by following this link.
Print ALL forms
Select individual forms for printing:
Registration
Health History