Carolina Family Practice and Sports Medicine


Request an Appointment
Request a Refill
Cancel an Appointment
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Patient Forms
Billing Questions

Cancel an Appointment

Use this form to cancel an appointment. If you would like to request a new appointment please go to “request an appointment” section above.

Please note that same day cancellations (less than 24 hours) may be subject to a cancellation fee.

Please provide all of the following information:
Patient Information
Patient Name
Date of Birth
Physician
Appointment Date
Appointment Time
Reason for cancellation

Appointment Information

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