Immunizations

• Adult Immunizations Schedule
• Travel Questionnaire 

General 

• Patient Registration Form 
• Assignment of Medical Insurance Benefits
• North Carolina Minor Consent Law
• Patient Right of Access

Health Information Exchange 

• NC HealthConnex Minor Opt Out Form (English)
• NC HealthConnex Minor Opt Out Form (Spanish)
• NC HealthConnex Adult Patient Opt Out Form (English)
• NC HealthConnex Adult Patient Opt Out Form (Spanish)
• NC HealthConnex Patient Education

Medical Records 

• Demographic Change Request
• Release of Information Authorization Form

HIPAA  

• HIPAA-Onslow County Government Guidelines Notice of Privacy Practices (English)
• HIPAA-Onslow County Government Guidelines Notice of Privacy Practices (Spanish)