New patient information & patient forms

We welcome new patients at Novant Health WomanCare! Each time you visit our office, please bring with you:

• Your insurance card.
• Your method of copayment or payment. (Click here for more information about billing & insurance.)
• A list of medications, including over-the-counter medicines and herbal supplements, you are currently taking.

Select any of the links below to download and print important forms for your visit. If you do not fill out these forms in advance, they will be available for you in our office:

• Patient Information/Consent To Treat 
• Authorization To Disclose Health Or Billing Information
• Communicating Your Health Information
• Adult Health History Questionnaire
• Personal Data

If a child is being treated, the following form must be filled out by a parent or guardian: