| (704) 243-7106 |
| 216 West North Main Street Waxhaw, NC 28173 |
Patient Forms |
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| How it Works |
| About Us |
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Ready to get started? Please fill out and sign the following 2 forms. Then fax them back to (704) 243-7108. Patient Registration Program Consent |
Once we receive your forms, we will call you to discuss your appointment.
