Carolina Child Neurology

Your child neurologist in Fayetteville, NC

910-491-2437

Fax: 910-491-2439

Patient Login

Your First Visit

Welcome to our practice!

1) Request Appointment

If you have not yet scheduled an appointment, you may do so by calling our office at 910-491-2437.

2) Download and Print New Patient Forms

We are happy to offer our patient forms online. Please feel free to print and fill them out at your convenience before your visit. You can either fax or mail to us or bring them with you to your first appointment.


Patient Information

Please download, print and complete this form before your first appointment.

Patient Info Form

HIPAA Policy

Please download, print and complete this form before your first appointment.

HIPAA Policy Form

Financial Policy

Please download, print and complete this form before your first appointment.

Financial Policy Form

Release of Medical Records

Please download, print and complete this form before your first appointment.

Release of Medical Records Form

Patient Referral Form

Please download, print and complete this form to refer another patient.

Patient Referral Form


3) Get Directions

If you are unable to get directions on our location page, you may call our office to get more detailed directions.


That's It! We will see you at your first appointment!

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