Carolina Family Practice Center
Carolina Family Practice Center
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    • About
    • Care & Services
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  • Care & Services
  • Resources
  • Contact

Patient Forms & Documents

Complete these forms before your first visit to help us better understand your medical history.

Patient Registration Form (pdf)Download
New Patient Medical History (docx)Download
Patient Health History (pdf)Download
Notice of Privacy Practices (docx)Download
HIPAA Notice Of Privacy Practices (docx)Download
Authorization for Release of Medical Records (docx)Download

How to Prepare for Your Appointment

  • Bring the current medications list
  • Bring an insurance card and a photo ID
  • Arrive 15 minutes early for paperwork
  • Bring prior medical records (if applicable)
  • List of current symptoms or concerns


For Telehealth Visits:


  • Ensure a stable internet connection
  • Join from a quiet, private space
  • Test the camera and microphone before the appointment

Searching health resources

Health & Wellness Resources

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Insurance & Payment Information

Insurance & Payment Information

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Specialist Referrals

When specialty care is needed, Carolina Family Practice Centre coordinates referrals to trusted specialists to ensure seamless continuity of care. If you require any referral documentation, please contact our clinic directly for assistance.

Referral Form

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