Your First Visit

Welcome to our practice!

Step 1 - Request Appointment

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

Step 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.
Click here to download (21 KB)

HIPAA Policy

Please download, print and complete this form before your first appointment.
Click here to download (18 KB)

Financial Policy

Please download, print and complete this form before your first appointment.
Click here to download (23 KB)

Release of Medical Records

Please download, print and complete this form before your first appointment.
Click here to download (13 KB)

Patient Referral Form

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

 
If you are unable to view the pdf files, please click on the icon below to download and install Adobe Reader:

Step 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

Our Office

Carolina Child Neurology

1540 Purdue Drive, Suite 101
Fayetteville, NC 28304
Map & Directions
 
Phone: 910-491-2437
Fax: 910-491-2439
 

Office Hours*:
Monday8:30am-4:00pm
Tuesday 8:30am-4:00pm
Wednesday8:30am-4:00pm
Thursday8:30am-4:00pm
Friday 8:30am-1:00pm


*By Appointment Only