Online Forms · Charlotte, NC
Save time before you arrive
Completing your paperwork ahead of time means more of your visit is spent on you, not a clipboard. If you have questions about forms, we’re happy to help.
5.0 · 301 Google reviews- LVI Fellow · Neuromuscular
- Charlotte's EMFACE Provider
- 20+ Years in Dilworth
Getting your forms
We offer our patient forms online so you can complete them from the comfort of home or the office. Download the forms you need below, then fax your completed pages to us or bring them along to your visit.
Have a question in the meantime? Call the office or send us a note — we’re glad to help you get ready.
Download our patient forms
These open as PDFs — complete them ahead of time to make your visit faster.
- Authorization to Release Health Information (PDF)Authorize us to share or request your health records.
- Financial Policy (PDF)Our billing, insurance, and payment policy.
- Privacy Practices Notice (PDF)How we protect and use your health information.
You’ll need a PDF reader such as Adobe Reader to open and print these forms.