Resources at Internal Medicine Associates of Charlotte in North Carolina
New Patient Forms
Notice of Privacy PracticesNotice of Privacy Practices Receipt
Patient Registration Form
Health History Questionnaire
Consent to Care
Financial Policy
Click Here to download and print all of the above new patient forms
Other Policies and Forms
Authorization for Release of Health Information FormPrescription Policy
Appointment Cancellation
If you should need to cancel your appointment, please give our office a 24 hour notice to prevent a cancellation fee.