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13220 Rosedale Hill Avenue, Huntersville, North Carolina 28078, United States

(704) 766-0320

(704) 766-0320

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  • About Us
    • Our Philosophy
    • Services
    • Carolina MD
    • Photo Gallery
  • Providers
    • Stacy Le, MD
    • Stacy Mullet, NP
  • Patient Resources
    • ADVANCE DIRECTIVES
    • Annual Wellness Forms
    • COVID-19
    • INSURANCE INFORMATION
    • Make a Payment
    • New Patient Forms
    • Other Forms
    • PATIENT EDUCATION
  • Office Policies
  • Portal
  • Contact Us
    • Office Hours & Location
    • After Hours & Weekends
    • Careers
  • More
    • Home
    • About Us
      • Our Philosophy
      • Services
      • Carolina MD
      • Photo Gallery
    • Providers
      • Stacy Le, MD
      • Stacy Mullet, NP
    • Patient Resources
      • ADVANCE DIRECTIVES
      • Annual Wellness Forms
      • COVID-19
      • INSURANCE INFORMATION
      • Make a Payment
      • New Patient Forms
      • Other Forms
      • PATIENT EDUCATION
    • Office Policies
    • Portal
    • Contact Us
      • Office Hours & Location
      • After Hours & Weekends
      • Careers
  • Home
  • About Us
    • Our Philosophy
    • Services
    • Carolina MD
    • Photo Gallery
  • Providers
    • Stacy Le, MD
    • Stacy Mullet, NP
  • Patient Resources
    • ADVANCE DIRECTIVES
    • Annual Wellness Forms
    • COVID-19
    • INSURANCE INFORMATION
    • Make a Payment
    • New Patient Forms
    • Other Forms
    • PATIENT EDUCATION
  • Office Policies
  • Portal
  • Contact Us
    • Office Hours & Location
    • After Hours & Weekends
    • Careers

Progressive Medical Associates

Progressive Medical AssociatesProgressive Medical AssociatesProgressive Medical Associates

New Patient Appointments & Forms

Submit Forms Online

Our office makes every effort to see our patients in a timely manner for their scheduled appointment time. Therefore, we ask all new patients to please come prepared for their visit, with all required forms submitted to our office at least 48 hours in advance. 


Click the link below to complete your new patient paperwork and submit online, prior to your upcoming appointment.  


Please submit all 3 forms below, by following the provided links:


New Patient (1) - Registration Form

New Patient (2) - Health Questionnaire

New Patient (3) - Health  Screenings


Patients aged 65 years or older should also complete the New Patient Medicare 65+ form.

NEW PATIENT (1) - REGISTRATION FORM
NEW PATIENT (2) - HEALTH QUESTIONNAIRE
NEW PATIENT (3) - HEALTH SCREENINGS
New Patient Medicare 65+

If you have not completed your forms online, please plan to arrive at least 30 minutes in advance of your appointment time to complete paperwork, or we may have to reschedule your appointment to allow sufficient time. Thank you for your understanding!  


Should you prefer to PRINT your forms to complete and bring with you to your appointment, you may download forms below: 

Download & Print Forms

NEW PATIENT FORMS UNDER 65 (pdf)

Download

NEW PATIENT FORMS 65+ (pdf)

Download

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