Schedule Appointment

Please Fill Out Our New Patient Form Below - Currently Scheduling in Late October -

First Name *

Last Name *

Phone Number *

Email *

Date of Birth *

What health concerns do you want to address by establishing care at IMCNC? *

Do you understand that we do not accept any insurance plans for office visits? We accept credit and debit cards, FSA cards, HSA cards, checks and cash as forms of payment due at time of service. *

Yes. I understand you do not accept insurance.

No. I did not read the above statement.

IMCNC is licensed only in the state of NC. The NC Medical Board requires patients to be physically in the state to receive telemedicine care from IMCNC. Do you agree to be in NC for any telemedicine appointments? *

Yes, I will be in North Carolina if I have a telemedicine appointment.

No. I am not eligible for telemedicine appointments.

Are you are inquiring for anyone under age 18? *

Yes, I am inquiring for a minor.

No.

Please provide the minor's age and additional details below. Children age 3 or older may become patients as long as they have a Pediatrician and/or Family Medicine doctor in place. *

IMCNC is opted out of the Medicare program for office visits. If you have Original Medicare or any Medicare Advantage plan, you will be required to sign a Medicare contract agreeing not to file for any reimbursement for office visits. Do you agree? *

Yes, I agree.

No, I do not agree.

HOW DID YOU HEAR ABOUT OUR PRACTICE? *

Are you a New Patient or Existing Patient?

How can we help you?

How can we help you?

Please Fill Out Our New Patient Form Below - Currently Scheduling in Late October -

Take the first step towards a happier, healthier you.

Take the first step towards a happier, healthier you.

About

Clinic Services

MedSpa at IMCNC

Business Hours

New Patients & Billing

Location

Our Art

Cherry Pfau

Schedule Appointment

Are you a New Patient or Existing Patient?

How can we help you?

How can we help you?

Please Fill Out Our New Patient Form Below - Currently Scheduling in Late October -

Energy Medicine

Schedule A Session

Cherry Pfau