New Patient Information

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Welcome to our practice and thank you for choosing us to serve your health care needs. This website is designed to answer many of the questions that you may have. The more you know about our policies and methods of practice, the better we may be of service to you. Should you have any questions, please do not hesitate to contact us.

If you are a new patient, please bring your insurance card and arrive early to complete any necessary paperwork. If you have been under the care of another physician, please bring your records or have them delivered prior to your appointment. Please bring completed new patient forms with you to your appointment.

What to Expect:

• New patients should arrive 15 minutes before their scheduled appointment time to complete paperwork.
• Please expect to pay your copay at the time of your visit.
• Physicians sometimes get delayed. We apologize for any wait times you may experience for this reason. If your wait time is more than 15 minutes, please alert our staff.
• Every new patient is scheduled for an initial evaluation visit.
• Bring your insurance card to every visit.
• If you are not able to keep your appointment, please notify us 24 hours prior to your scheduled appointment time.

Forms by Practice

Endocrinology Mooresville

• New Patient Form
  
• Release of Protected Health Information
• Review of Systems

Family Medicine Denver

• Medical Records Release Form
• New Patient Forms

Family Medicine Mooresville

• New Patient form for Adults
• New Patient form for Children
• Request for Records FROM our Office
• Request for Records TO our Office

General Surgery NorthPoint

• Medical Record Release
  
• Patient Registration Form
• HIPAA Regulations Form

Lake Norman Gastroenterology

• Patient Medical History Questionnaire

Neurology/Neuro-Ophthalmology Mooresville

• General Consent to Treat/Patient Authorization/Acknowledgement of Benefits Release
• Medical Record Release Form
• e-Prescribing/Medication History Download Consent Form
• Privacy Notice Acknowledgement
• Patient Consent and Agreement
• Outpatient Information

Orthopedic Spine Mooresville

• History and Physical Form (First visit and New concerns)
• e-Prescribing and Medication History
• Dear Patient Letter
• HIPPA Consent
• Consent to Treat
  
• Discharge Instructions

Primary Care Gateway

• New Patient Forms
• Medical Records Release Form
• New Patient Forms
• Request for Records from Our Office
• Request for Records to Our Office

Primary Care Morrison Plantation and Primary Care Byers Creek

• Adult History Questionnaire
• Pediatric History Questionnaire
• Orthopedic New Patient Questionnaire
• Request for Records from our Office
• Request for Records to our Office
• Family HIPAA Release form

Surgery and Breast Health

• Medical Record Release
• Patient Registration Form
• HIPAA Regulations Form

The Center for Surgical Weight Loss at Lake Norman

• New Patient Forms
• Release of Medical Records to the CSWL
• Release of Medical Records from the CSWL
• Privacy Practices Notice