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Patient Forms

New Patients: Call our office for information on the forms you will need. Please print the forms and complete the information for your upcoming visit. This can be done in the privacy of your home or our office.

Current Patients: Print and complete the forms that you will need for your upcoming visit. Call our office for information and requirements for each form you will need. Proper Vaccines can deter or prevent dangerous diseases. Learn about the vaccines your child will be given.

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Feeding Guide for
the first 2 years

Acknowledgement of
Receipt

Authorization to
Release

Consent for
Treatment

Financial
Policy

Family
History

Record of
Disclosures

Release of
Medical Information

Common Medical Problems

Latest News
Holiday Schedule

Thanksgiving

Nov. 26th - close at 12:00pm
Nov. 27th & 28th - closed

Christmas

Dec. 24th - close at 12:00pm
Dec. 25th & 26th - closed

New Year's

Dec. 31st - close at 12:00pm
Jan. 1st - closed

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NorthLake Childrens Associates, P.A. || 142 Professional Park Dr. Suite 300 Mooresville, NC 28117 || Phone - 704-663-5240 || Fax - 704-663-5399

 

 

 

 

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