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Patient Forms

Please download the appropriate form for each patient, print the form(s), fill out the requested information and bring the completed forms to your appointment.

Download Forms

Forms are in the PDF format. You will need PDF software on your computer, although most modern computers sold in the last 10 years come with PDF software out of the box. If yours didn’t, download Adobe Acrobat Reader here.

Insurance and Billing Policies

We Accept Insurance and Determine Coverage for you

All materials on this website including but not limited to text, copy, images and photographs are provided for informational purposes only. This website and related materials are not intended to be a substitute for professional health advice, diagnosis, or treatment. | Good Faith Estimate notice

(336) 889-3831

kennyclinic@nulltriadbiz.rr.com

2400 S. Main St., High Point, NC 27263

2400 S. Main St.
High Point, NC 27263

Tel: (336) 889-3831