Resources at Internal Medicine Associates of Charlotte in North Carolina

New Patient Forms

Patient Information/Consent to Care
Health History Questionnaire
Financial Policy
Prescription Medication Policy
Notice of Privacy Practices
Physical Examp Form

Other Policies and Forms

Authorization for Release of Health Information Form
Prescription Policy

Appointment Cancellation

If you should need to cancel your appointment, please give our office a 24 hour notice to prevent a cancellation fee.

 

 

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