704-636-5576
Regular Appointments Mon - Fri 9:00am - 4:30pm Call our office for Holiday Hours.
Established Patients Only Mon - Fri Mornings 8am - 9am Mon - Fri Evenings (May 1 - Oct 31) 5pm - 6pm (Nov 1 - April 30) 5pm - 7pm Saturday 9am - 11:30am Sunday 10am - 12pm
Salisbury Pediatric Associates welcomes new patients. Below you will find a list of items and information you need to provide us on your first visit. As you know, filling out forms at the doctor's office can be time consuming, so below you will find all the forms we require at the time of your visit. You may print these forms and fill them out at home at your leisure. Just bring them with you when you come for your doctor's visit.
To save time at your fist appointment, fill out the Patient Registration form and Treatment Consent and Agreement to Pay form. Hand them to the receptionist along with your current insurance card at check-in. Please call our office if you have any questions.
There are 4 forms you need to bring to Salisbury Pediatric as a new patient. Below are links to the pdf versions of these forms. You may print each form separately or print the entire New Patient Packet, which contains all the forms.
New Patient Packet (Contains all the forms you need)
1. Patient Registration Form (to be filled out prior to visit) 2. Treatment Consent & Agreement to Pay Form (to be read and signed prior to visit) 3. SPA Financial Policy (to be read and signed prior to visit) 4. Privacy and Confidentiality Statment (HIPPA compliant form to be read prior to visit)
Salisbury Pediatric Associates, PA 129 Woodson Street Salisbury NC 28144 704-636-5576
Thank you for entrusting the health and care of your child to Salisbury Pediatric Associates, PA.
