Meet The Medical Staff
James F. Boyd, MD
Geoffrey S. Chapman, MD
Justin P. Favaro, MD, PhD
H. Grant Taylor, MD, FACP
Lisa Kelley, RN, MS, AOCNP

Navigate Our Website
Home Page
Medical Staff
Office Policies
Patient Education
Patient Forms <
Contact Us
Patient Survey

Patient Forms

Click on each link to download
the forms in Adobe PDF format.

Notice of Privacy Practices

Patient Authorization Form

Patient Demo Form

Patient Medical History Form

2711 Randolph Rd. #100, Charlotte, NC 28207 | Office 704-342-1900 | Fax 704-377-0353 | Appointment Line 704-342-9577
Appointment Line 704-342-9577