Carolinas HealthCare System
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Patient Information

NorthEast Internal & Integrative Medicine provides new and existing patients the following forms for download to fill out and bring to your appointment as requested.

Patient Forms

Release of Medical Records

Prescription Refill Policy:
Please contact your pharmacy for medication refills; they will fax our office on your behalf. Your prescription should be available at the pharmacy within 48 business hours. Prescriptions for controlled substances must be
picked up at the office. Medication refills requiring pre-authorization from your insurance company could take between five and ten business days to complete due to the complexity of the process required by your insurance
carrier.

Cancellation Policy:
If you need to cancel, call the office during normal business hours within 24 hours of your appointment. We reserve the right to charge for cancellations with less than 24 hour notice.

Late Arrival Policy:
Due to high patient volumes, late arrivals may be asked to reschedule their appointments. All patients should plan to arrive at least ten minutes early to register at the front desk.

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