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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! 

Office Policies

All New Patients must acknowledge our General Office Policies. 

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. 

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

Frequently Asked Questions

Schedule an Appointment

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