Patient Registration

You can easily preregister with our office by filling out our secure online Patient Registration Form. Once completed, simply press the "Complete and Send" button at the bottom to automatically send us your information. Rest assured, we take the security and privacy of your personal data seriously and have implemented robust measures to safeguard it.

A note to patients: After entering your first name, last name, email, and at least one phone number field (either a valid home or cell phone), a button titled "Save and Exit" will appear in the upper right corner. This button allows you to save your progress and exit the form for completion at a later time. You'll receive a registration email at the provided email address, enabling you to set up a login and return to finalize your registration form online at your convenience. We aim to make the registration process as seamless and user-friendly as possible for you.

Patient Forms


9713 Northcross Center Court, Suite 100,
Huntersville, NC 28078

Fax: (704) 875-0303

Office Hours

MON - THU8:00 am - 5:00 pm

FRI8:00 am - 1:00 pm

SAT - SUNClosed