We are accepting new patients at all of our Regional Physicians locations. If you are interested in becoming a patient, please contact the individual specialty or location directly by clicking here. If you would like to download the patient forms, you can by clicking on the links listed under the respective practice. Bookmark this page to find new forms as they become available. 

Patient Information Form

HIPAA Privacy Release

Family Medicine
Regional Physicians Family Medicine

Regional Physicians Family Medicine-Adams Farm-Pediatrics

Regional Physicians Family Medicine-Adams Farm-Adult

Fertility
Premier Fertility Center

Internal Medicine

EMR Form

Regional Physicians Internal Medicine: Thomasville Location

Regional Physicians Internal Medicine: High Point location

Neurosurgery

EMR Form

Regional Physicians Neurosurgery- Patient Information Form

Regional Physicians Neurosurgery Review of Systems- Checklist of Symptoms

Regional Physicians EMR Patient Information Form- Regional Physicians Neurosurgery Electronic Medical Record Patient Information Form

Orthopaedics
Regional Physicians Orthopaedics

Physical Medicine and Rehabilitation

Regional Physicians Physical Medicine and Rehabilitation

Spine, Bones, Skeletal

Regional Physicians On Premier

Walk-in Clinic 

Regional Physicians Walk-in Medical Care/ Family Medicine/Occupational Health Form

• High Point North 
• High Point West
• Jamestown
• Thomasville

Women's Health

EMR Form

Occupational Health 

For Occupational Health forms provided to you by Regional Physicians Walk-in Medical Care/ Family Medicine/Occupational Health (formerly MedCentral), click here.