Patient Forms

In order to simplify your first visit, you may print out the following items and fill out the forms. If you are having trouble viewing these forms, you may need to install Adobe Reader. Click here to install Adobe Reader.

New Patient Paperwork

Hipaa Patient Privacy Notice

Non-Discrimination Statement

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Our Location

1100 Hardee Rd., #114 | Kinston, NC 28504

Office Hours

BY APPOINTMENT ONLY

Monday:

8:00 am-12:30 pm

2:30 pm-6:00 pm

Tuesday:

8:00 am-12:00 pm

Wednesday:

8:00 am-12:30 pm

2:30 pm-5:00 pm

Thursday:

8:00 am-12:20 pm

2:30 pm-6:00 pm

Friday:

8:00 am-1:00 pm

Saturday:

Closed

Sunday:

Closed