New patient paperwork for dr. rupinder kaur
Forms can be faxed to 336.282.0907 or dropped off in person. Please call to confirm hours we will be in the office. Masks are required.
Please include a copy of your insurance card and a picture ID
Please include a copy of your insurance card and a picture ID
| New Patient Paperwork |
Consent for release of information*
| consent.pdf |
Barbara fousek, lcsw, acsw, m.ed. New patient paperwork
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Spravato referral form
| Spravato Referral Forms |
