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New Patient Forms


Click here for printable forms.

Please complete and sign new patient forms prior to your first visit.  
Completed forms can be faxed to (919) 869-2828 or can be given to your treating physician at your initial consultation.  


Carolina Wellness Psychiatry, PLLC
400 Meadowmont Villiage Circle, suite 428
Chapel Hill, NC 27517
Phone: 919-446-3232
Fax: 919-869-2828

Office Hours

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