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Patient FormsThank you for selecting Gingras Sleep Medicine for infant, pediatric, and adult sleep disorder evaluation and sleep medicine treatment. To make an appointment at our Concord or Charlotte, North Carolina sleep medicine offices, please call (704) 944-0562 or request an appointment online.

Once you have made your initial appointment, you can pre-register by clicking on the links for New Patient Forms below. Please complete and submit the interactive forms or download, print, and complete the forms prior to your arrival. When you arrive at Gingras Sleep Medicine, simply check in with our receptionist.

Please note: It may take a few minutes to load the forms if you are using a dial-up Internet Connection. If you are unable to view the forms, you may need to download Adobe Acrobat for free by clicking on the Adobe icon.
Get Adobe Reader

If you register online, all of your information is transmitted securely and is held in strictest confidence, adhering to HIPAA guidelines and protecting your privacy. You will need to print out a copy of the Privacy Policy, sign it, and bring it to your office visit.

Patient Forms

Patient FormsThank you for selecting Gingras Sleep Medicine for infant, pediatric, and adult sleep disorder evaluation and sleep medicine treatment. To make an appointment at our Concord or Charlotte, North Carolina sleep medicine offices, please call (704) 944-0562 or request an appointment online.

Once you have made your initial appointment, you can pre-register by clicking on the links for New Patient Forms below. Please complete and submit the interactive forms or download, print, and complete the forms prior to your arrival. When you arrive at Gingras Sleep Medicine, simply check in with our receptionist.

Please note: It may take a few minutes to load the forms if you are using a dial-up Internet Connection. If you are unable to view the forms, you may need to download Adobe Acrobat for free by clicking on the Adobe icon.
Get Adobe Reader

If you register online, all of your information is transmitted securely and is held in strictest confidence, adhering to HIPAA guidelines and protecting your privacy. You will need to print out a copy of the Privacy Policy, sign it, and bring it to your office visit.

Phone: 704-944-0562

Concord, NC
248 LePhillip Court
Concord, NC 28025
Fax: 704-944-0563

Charlotte, NC
6207 Park South Road
Suite #101
Charlotte, NC 28210

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