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New Patient Form

New patients can save time during their first appointment by completing the New Patient Registration form prior to their visit. Simply print out the Patient Registration form, fill in the information requested, and bring the completed form with you to your appointment or email it to us at painreliefcarolina@gmail.com.

New Patient Form

Patient service is our business and patient satisfaction is our number one goal.
Call us for a complimentary consultation or click here to make an appointment.
(336) 740-9580