Carolinas HealthCare System

Patient Registration Inquiry

Talk to a customer service representative by calling 704-512-2000 . Hours of Operation are Monday - Friday 8:30am to 6:30pm.

1.   Where to Contact You:
    First Name:*
    Last Name:*
    Relationship to Patient:*
    Daytime Phone:
    SSN (Last 4 Digits):*
    Email:*
    Re-Type Email:*
2.   Inquiry Details:
    Inquiry Type:*
    Facility:*
    Question:*
 
  I have read and agree to the Carolinas HealthCare System's Electronic Communication Consent.
 
     


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