PRE-VISIT FORMS 2020-06-19T18:10:46+00:00

PRE-VISIT FORMS

To help expedite your next visit, please download the “Patient Information” and “Privacy Policy” sheets and complete them to bring with you to your next visit.

Please arrive 15 minutes before your scheduled appointment. We look forward to your visit and putting you on the road to a healthier life.

If you have an Emergency, go to the nearest hospital or dial 911.

For Urgent Care needs after regular business hours, call 336-349-9189 for our Doctor on call.

Downloads

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Friendly Financing Offered

Belmont Medical is now offering promotional financing options beginning with transaction amounts of $200.* Click the link above to apply for your CareCredit card today for easy payment of your medical bills.

*Subject to credit approval. 0% Financing if paid in full during promotional period. Minimum monthly payments required.