Home > Patient Tools > New Patient Information/Patient Forms

New patient information

We welcome new patients at Novant Health Harborside Pediatrics! Whether you are in need of a well-child checkup or care for a sick child, our office is here for you! To make your first appointment, please call our office at 704-664-2552 between 8 a.m. and 5:00 p.m. Monday through Friday.

Click here for a map and directions to our office.

Arrive at least 15 minutes before your first appointment, and bring with you any recent immunization or medical records. Also bring with you to every appointment:

  • The insurance card for the policy covering your child. (Click here to read more about accepted insurance plans.) If your visit is not covered by insurance, you are eligible for a 40% prompt pay discount if you pay in full at the time of service.
  • Your method of copayment, or payment in full if your child is uninsured. We accept cash, check, debit cards, Visa, MasterCard and Discover Card.
  • A list of medications and vitamins, including dosage and frequency, that your child is currently taking.

Patient forms

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

If you have been given a specific school or sports physical form to be completed for your child, please bring it with you as we do not have access to those specific forms.