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Forms

Forms

Save time at your appointment by filling out these forms ahead of time. Use this link to print the forms, then fill them out and bring them with you to your appointment.

Insurance Waiver Form

General Consent - English

General Consent - Spanish

Communication Self-Assessment Form English

Communication Self-Assessment Form Spanish

Request for Alternative Means of Communication

Intake Form

Release of Information English

Release of Information Spanish

Notices

Patient Rights - English

Patient Rights - Spanish

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UNC Health Rex
4420 Lake Boone Trail
Raleigh, NC 27607, USA
919-784-3100

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