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New Patient Forms

Carolina Integrated Medical Solutions offers our patient form(s) online so they can be completed in the convenience of your own home or office.

  • All forms are PDF files. You will need AdobeReader® to view them.
  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print them out and fill in the required information.
  • Fax us your printed and completed form(s) or bring them with you to your appointment.
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NEW PATIENT SPECIAL OFFER

New Patients Receive a
Complimentary Consultation!
Fill out the form below and a member of our team will contact your shortly.

    Your Name (required)

    Your Email (required)

    Phone (required)

    When would you like to come in? (required)
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    OFFICE HOURS
    Monday 8:00am - 12:00pm
    2:30pm - 6:00pm
    Tuesday 8:00am - 12:00pm
    2:30pm - 6:00pm
    Wednesday 8:00am - 12:00pm
    2:30pm - 6:00pm
    Thursday 8:00am - 12:00pm
    2:30pm - 6:00pm
    Friday 8:00am - 12:00pm
    Saturday Closed
    Sunday Closed

    "You may not control all the events that happen to you, but you can decide not to be reduced by them. If you cannot make a change, change the way you have been thinking. You might find a new solution.”

    - Maya Angelou

    YOU CAN FIND US HERE

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    OFFICE HOURS
    Mon. 8am - 12pm, 2:30pm - 6pm
    Tue. 8am - 12pm, 2:30pm - 6pm
    Wed. 8am - 12pm, 2:30pm - 6pm
    Thu. 8am - 12pm, 2:30pm - 6pm
    Fri. 8am - 12pm
    Sat. Closed