Request Appointment

Please note that this form is for requesting appointments only. Availability will vary and someone from our office will call you to confirm your appointment request.
Please do not submit any Protected Health Information.

Date You Would Prefer(*)
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Email(*)
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Phone(*)
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Insurance Company(*)
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Member ID(*)
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How did you hear about us?




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Referred by Doctor?
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Referred by other?
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Describe Nature Of Appointment

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Statesville Office

Phone
: (704) 873-9797
Fax
: (704) 873-9794
1711 Davie Ave.
Statesville, NC 28677
Mon
: 8am - 4pm
Tue
: 8am - 2pm
Wed
: 8am - 4pm
Thu
: 8am - 4pm
Fri
: 8am - 12pm
*Lunch: 12pm - 1:30pm Monday, Wednesday, Thursday

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