Susan H. Huffman, CMPE
 (Practice Administrator)

 

Forms Needed to Transfer to Unifour Pediatrics:

A. Making the Decision to Transfer to Unifour Pediatrics:


Small Ball
We thank  you for transferring to Unifour Pediatrics.
    Here are some documents which should help you with your decision:

Small Ball Download "Why Choose Unifour Pediatrics? - Information" PDF.
Small Ball Download "Guiding Principles" PDF (our Philosophy of Practice)
Small Ball Download "Hours and Contacting Us" PDF (various ways and times)
Small Ball Download "Digital Ways to Interact with Unifour Pediatrics" PDF
Small Ball Download "Read About Our Clinicians" web page


B. Obtain Transfer Records from Other Practices:

Small Ball Request to Transfer from other practice - Download/Print Out Now.
Small Ball Fill out and sign these transfer forms (one for each child to transfer).
Small Ball Send these transfer forms to the other office or to our office.
Small Ball Try to complete this process well before the first visit, because it
     takes time to receive transferred records, and without the past medical
     records, this significantly prolongs the visit and decreases the quality.



C. Read, Fill Out, and Sign ALL Patient Intake Forms:

Small Ball
Download All 8 New Patient Intake Forms - Download/Print Out Now.
      (we have included all 8 forms needed, to simplify your transfer here. By
       filling our forms prior to the visit, minimal forms to fill out at your first visit)
Small Ball
Read, complete, and sign all forms - this will save time later.
Small Ball Then, deliver these to our office:
     either mail these to us -OR- FAX them to us -OR- hand deliver them to
     our office (see Below)
.
Small Ball Try to complete this process well before the first visit, because this
     will save you from having to fill out all of these forms in the waiting room
     before being seen.


D. Submit these forms to us (Any of these methods):

Small Ball
Mail to: Unifour Pediatrics, P.O. Box 1347, Hickory, NC 28603-1347.
Small Ball FAX to: 328-1119.
Small Ball Hand deliver to: 3411 Graystone Place, Conover, NC 28613.
         Do NOT send mail to this address. It will be returned to sender.
         For driving directions, maps, MapQuest - click here.
         For more contact information - click here.


E. Additional Helpful Information to View and Print Out: 
.
Small Ball Download "Key Features of Unifour Pediatrics? - Information" PDF.
Small Ball Download "
Guiding Principles" PDF (our Philosophy of Practice)
Small Ball Download "
Hours and Contacting Us" PDF (various ways and times)
Small Ball Download "
Digital Ways to Interact with Unifour Pediatrics" PDF
Small Ball Download "
Read About Our Clinicians" web page.

                        

 
Susan H. Huffman, CMPE
(Practice Administrator)

David Millsaps
MD FAAP

Brooke Hata MD FAAP

Richard Rheinbolt
MDFAAP

Barbara Colosimo MD FAAP

William Elliott MD FAAP

Board Certif. Pediatricians:
Fellows of the
American Academy of Pediatrics

and our Pediatric

 
   Nurse Practitioners


Sommer C. Clark
, CPNP

Camille Glidden
, CPNP

Karen Leasure
, CPNP

Lauren McFarland CPNP
Holly Duncan, CPNP

Evina Nonato
, CPNP

Mission:

Unifour Pediatrics is a physician-owned primary care pediatric practice established to provide quality comprehensive healthcare services to infants, children, adolescents & college-age youth.