3035A Boone Trail Extension Fayetteville, NC  28304 
+910-920-1165 / FAX 910-425-5178
info@northcarolinahyperbarics.com

PATIENT FORMS

Clipboard doctor writing

FORMS

Please find attached patient forms that you can either fill out electronically or by hand.

After filling out electronically this form can not be saved. You can print these forms and bring to your appointment. Please do not hit the SAVE button. If you do this, all your prior information will be lost.

If you have any questions call North Carolina Hyperbarics at 
910-425-5178

Thank you.

Patient History forms

HBOt Guide

Wound Care GUIDE

This form is fillable PDF

Click to Download

This needs to be filled out with the physician.

Click to Download

This needs to be filled out with the physician.

Click to Download
CLICK TO DOWNLOAD

Treatment Referral From

Patients can be referred by their physicians, or call us directly for a consultation. While patients are undergoing treatment, they remain under the care of the referring physician, who will receive copies of the patient’s treatment documentation. Out of area patients may be referred to an appropriate local physician at the discretion of the referring physician.

Click to Download