Appointments

Welcome to the CDHA Online Appointment form. Please select the appropriate “Online Form” below and fill it out.  If you would rather print the form out, you can select the appropriate printable PDF Form, fill it out and fax it to our offices at 704-372-3605. Please feel free to  contact us if you have any questions.


Referring Physicians Patient Referrals

Online Form

Print and Fax
Physician’s Request for Appointment

Online Form

Print and Fax
Patient Request for Appointment