Carolina Internal Medicine Assoc.

Please select from the following available folders to access the appropriate patient forms. You may download, print and complete these forms prior to your visit and present them to the office staff upon arrival.

	Established Patients - Medicare
	Established Patients - Non-Medicare
	New Patients - Medicare
	New Patients - Non-Medicare
	Release of Medical Records to Carolina Internal Medicine
	Release of Medical Records to other Physician/Facility

INITIAL NEW PATIENT CONTACT FORM

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Intuit Health Allscripts