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Patient Information

Before we get started with your child's care, we'll need a few quick things from you. We also have some important information about billing, vaccinations, and what to expect as a patient. Don't hesitate to ask if you have any questions. We're here to help!

Patient Forms

New Patient Form

All New Patients must complete this registration form before scheduling their first appointment. Remember, we need a registration for each child! 

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Office Policies

All New Patients must acknowledge our General Office Policies. 

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Patient Financial Policy

All New Patients must complete the Patient Financial Policy Form. If there are any changes for existing patients, please complete this form as an update to a patient's account. 

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Accepted Insurance Plans

Aetna

BCBS

Cigna

First Carolina Care

Great West

Med Cost

UMR

Multiplan

Tricare Select

United Healthcare

Ambetter of NC

NC Medicaid

  • ​​NC Medicaid Direct 

  • Carolina Complete Health 

  • WellCare of NC

  • United Healthcare Community plan of NC 

  • Healthy Blue of NC 

  • Trillium Tailored Care Plan

We DO NOT currently accept AmeriHealth

SC Medicaid

  • Select Health of SC 

  • Absolute Total Care of SC 

  • Humana of SC 

  • Blue Choice- we are NOT in network 

  • SC Medicaid Direct

  • Why are vaccines important for my child’s health?
    Vaccines protect against serious and potentially life-threatening diseases. They work by stimulating the immune system to recognize and fight pathogens without causing the illness itself. Vaccination helps prevent outbreaks, protect vulnerable populations, and contributes to herd immunity, which reduces the spread of disease in the community.
  • What should I do if I have concerns about the vaccine schedule or specific vaccines for my child?
    If you have concerns about the vaccine schedule or specific vaccines, please discuss them with one of our providers. We are committed to addressing your concerns and providing evidence-based information to help you make informed decisions about your child's health.
  • Can my child receive vaccines on an alternate schedule?
    While we strongly recommend following the standard vaccine schedule set by the AAP and CDC for optimal protection, we understand that some families may have unique circumstances. If you are considering an alternate vaccine schedule, please discuss this with us. We will work with you to understand your concerns and ensure that any adjustments do not compromise your child’s health and safety.
  • What if I choose not to follow the recommended vaccine schedule?
    If you choose not to follow the recommended vaccine schedule, we will work with you to understand your decision and provide guidance on alternative approaches. However, it is important to be aware that deviations from the recommended schedule may increase the risk of your child contracting vaccine-preventable diseases. We will support you in making informed decisions and monitor your child’s health closely.
  • How can I stay informed about vaccine updates and changes in guidelines?
    We will keep you informed about any updates or changes in vaccine guidelines through regular communications and educational materials. You can also visit the AAP and CDC websites for the latest information on vaccines and immunization schedules. If you have specific questions or need clarification, please feel free to contact our office.

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