Mon - Fri 8am - 9pm
Sat & Sun 8am - 4pm
phone910-794-4947 | FAX: 910-794-4943
location 6132 Carolina Beach Rd, Ste 8, Wilmington, NC

First Visit

paperworkWe want to make sure every experience you have with us is a pleasant one, right from the start. Even when you don’t feel your best, we’ll still do what we can to help you feel better faster. Sometimes, it comes down to the simplest things, like saving you time before you even walk in the door. Why not shave off a few minutes of your first visit by doing your paperwork ahead of time? We’ve made the most-needed forms available to you below, in easy-to-read-and-print PDFs.

All forms should be completed and signed prior to your appointment. And remember to bring the completed forms with you. 🙂

 

New Patient Registration Forms

Click on the form titles below to open PDFs and print.

Click here to print all new patient forms at once

Notice of Privacy Practices

HIPAA Release of Information to Other Parties

HIPAA Release of Information to Masonboro Urgent Care

 

School Physical Forms

New Hanover County Sports Physical Form

 

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