PATIENT FORMS

PATIENT FORMS

Please print the forms and complete them prior to your first visit. Thank You.

New Patient Form

Records Release Consent Form

Quick Links

Contact Details

Address:

2149 Valleygate Drive, Suite 102, Fayetteville NC 28304

Phone: 910-484-5366

Email: vimclinic2149@yahoo.com

Business Hours

Mon - Thu: 8:00 am - 5:00 pm
Friday: 8:00 am - 1:00 pm
Sat - Sun: Closed

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