Patient Resources

Carolinas Skin Center recognizes that medical information about you and your health is personal and confidential.  We are committed to protecting medical information about you and our covenant is to provide the highest level of protection for your medical information while still providing you with the highest level of medical care.

Patient Forms

Please download and print the following forms as needed.  We ask, if possible, that you submit your forms 48 hours prior to your visit.  Please have a valid photo i.d. and current insurance information available at the time of your visit.

CSC Demographics, Insurance

CSC Patient History Intake Form

CSC Hippa Disclosure Medical Release, Acknowledgement


All Forms (Packet)

Alternatively, you can call CSC and request your personal login and password to our patient portal and complete your forms online. 704-997-7070

Patient Portal

HIPPA/Privacy Notice

Our office is fully committed to confidentiality and compliance with HIPPA & PHI guidelines by:

• Providing appropriate security for our patient records.
• Protecting the privacy of our patient’s medical information.
• Providing our patients with proper access to their medical records.
• Appropriately maintaining our patient information and billing processes in compliance with national standards.
If you ever have any questions or concerns regarding these guidelines, we encourage you to contact us.

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