New Patient Information/ Patient Forms
Novant Health Mountainview Medical welcomes new patients! We want to make your first visit to our office as convenient as possible. Please arrive at least 15 minutes before your scheduled appointment so that we can collect necessary information.
Please remember to bring with you to every appointment:
- Your insurance card(s) and method of payment or co-payment. (Click here for more insurance information.)
- A list of current prescriptions and/or over-the-counter medications you are taking, including dose and frequency.
- A list of any herbal or nutritional supplements you take.
If possible, please have your medical records sent to our office before your first appointment. Our fax number is 336-985-5101. Please bring with you any recent x-rays or test results that may affect your care.
Select any of the links below to download and print important forms for your visit. If you do not fill out these forms in advance, they will be available for you in our office:
If a child is being treated, the following form must be filled out by a parent or guardian:
You will receive a reminder call about your appointment. If you need to cancel, please do so at least 24 hours before your appointment. If you fail to show up for a scheduled appointment or to cancel in a timely manner, you could face a $25 charge or dismissal from our practice.