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Patient forms

The team at Novant Health Lakeside Family Physicians looks forward to seeing you in our office! We are confident you will be comfortable here with our caring, compassionate staff.

Please arrive at least 15 minutes before your appointment to complete necessary paperwork, and bring with you:

  • Your insurance card.
  • Your method of payment or copayment.
  • Specific information on current medications you are taking, including dosage and frequency. Please include any herbal supplements or over-the-counter medications.

Before you are seen by one of our providers, we need to collect some information from you. These forms will be available in our office, or you can click the links below to print and complete the forms before you arrive to help expedite your visit:

For well child visits ages 2 months to 5 years, please also download, complete and bring with you the Survey of Well-being of Young Children. This will help your child's provider understand his or her health and development. Click here to download the age-specific survey.

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