Hudson Office

286 Pine Mountain Road

Hudson, North Carolina 28638

Phone:  828.728.1998

Fax:  828.728.1996

Hickory Office

1321 North Center Street

Hickory, North Carolina 28601

Phone:  828.322.3898

Fax:  828.322.5485

Serving Catawba and Caldwell Counties Since 2001

welcome@foothillsinternalmed.com

Patient Forms

    Patient Registration Packet

    Medication List

    Medical Records Release

    Authorization of Health Information Disclosure

    Pain Scale

    Holley Dagenhardt, MA, RD, LDN - New Client Form

Patient Practices & Policies

    Office Policies

    Notice of Privacy Practices

    Internet Privacy Policy

For your convenience, we have made some of our patient forms accessible to you online in PDF format.

If you have difficulty viewing the files below, please download and install a FREE copy of Adobe Acrobat Reader.  Click here or on the "Get Adobe Reader" logo to start your download.

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