{"id":507,"date":"2021-02-16T14:09:04","date_gmt":"2021-02-16T19:09:04","guid":{"rendered":"https:\/\/carteretclinic.com\/?page_id=507"},"modified":"2024-04-05T11:03:51","modified_gmt":"2024-04-05T15:03:51","slug":"forms","status":"publish","type":"page","link":"https:\/\/carteretclinic.com\/forms\/","title":{"rendered":"Forms"},"content":{"rendered":"\n\n<h2>\n\t\tFORMS\n\t<\/h2>\n\t<p>Please download, print, and sign the forms. You may email the forms to <a href=\"mailto:medrecords@carteretclinic.com\">medrecords@carteretclinic.com<\/a>, fax 252.726.7441, mail or bring them to your first visit.<\/p>\n<p><em>**Please note we are currently located in a temporary location at 221-B Professional Circle, Morehead City, NC 28557. The address on most of the forms provided here do not have this updated address.<\/em><\/p>\n<p>If more than one child please sign an authorization form and financial policy for each child. (these forms are included in the packets)<\/p>\n<p><a href=\"https:\/\/carteretclinic.com\/wp-content\/uploads\/2021\/03\/New-Patient-Packet-9-18-19.pdf\">New Patient Packet<\/a><\/p>\n<p><a href=\"https:\/\/carteretclinic.com\/wp-content\/uploads\/2021\/03\/Newborn-Patient-Packet-9-18-19.pdf\">Newborn Patient Packet<\/a><\/p>\n<p><a href=\"https:\/\/carteretclinic.com\/wp-content\/uploads\/2021\/03\/Established-Patient-Packet-9-18-19.pdf\">Established Patient Packet<\/a><\/p>\n<p><a href=\"https:\/\/carteretclinic.com\/wp-content\/uploads\/2021\/03\/18-year-olds-health-care-proxy-for-IC.docx\">Patients 18 and over (consent for parent exchange of information)<\/a><\/p>\n<p><a href=\"https:\/\/carteretclinic.com\/wp-content\/uploads\/2021\/03\/Authorization-consent-for-treatment.pdf\">Authorization consent for treatment (parent consent to other party)<\/a><\/p>\n<p><a href=\"https:\/\/carteretclinic.com\/wp-content\/uploads\/2021\/03\/Record-Release-2.pdf\">Medical Record Release Form (please complete one release form for each child)<\/a><\/p>\n<p><a href=\"https:\/\/carteretclinic.com\/wp-content\/uploads\/2021\/03\/Authorization-for-Exchange-of-Confidential-Information.pdf\">Authorization for Exchange of Confidential Information<\/a><\/p>\n<p><a href=\"https:\/\/carteretclinic.com\/wp-content\/uploads\/2021\/03\/telehealth-consent-rev.pdf\">Telehealth Consent Form<\/a><\/p>\n<p><a href=\"https:\/\/carteretclinic.com\/wp-content\/uploads\/2021\/03\/Vanderbilt-Form-Parent.pdf\">Vanderbilt Form Parent<\/a><\/p>\n<p><a href=\"https:\/\/carteretclinic.com\/wp-content\/uploads\/2021\/03\/Vanderbilt-Forms-Teacher.pdf\">Vanderbilt Form Teacher<\/a><\/p>\n\n","protected":false},"excerpt":{"rendered":"<p>FORMS Please download, print, and sign the forms. You may email the forms to medrecords@carteretclinic.com, fax 252.726.7441, mail or bring them to your first visit. **Please note we are currently located in a temporary location at 221-B Professional Circle, Morehead City, NC 28557. The address on most of the forms provided here do not have&hellip;<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Forms - Carteret Children&#039;s Clinic<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/carteretclinic.com\/forms\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Forms - Carteret Children&#039;s Clinic\" \/>\n<meta property=\"og:description\" content=\"FORMS Please download, print, and sign the forms. You may email the forms to medrecords@carteretclinic.com, fax 252.726.7441, mail or bring them to your first visit. **Please note we are currently located in a temporary location at 221-B Professional Circle, Morehead City, NC 28557. 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