Pinehurst Medical Clinic

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Pinehurst Medical Clinic
  • Providers
  • Locations
    • FirstHealth Outpatient Cancer Center - 135 Page Road North, Pinehurst
    • PMC - 90 Memorial Drive, Pinehurst
    • PMC - Aviemore - 45 Aviemore Drive
    • PMC - Carthage Street - 555 Carthage Street, Sanford
    • PMC - Dennis Drive - 110 Dennis Drive, Sanford
    • PMC - East - 205 Page Road, Pinehurst
    • PMC - Fields Drive - 110 Fields Drive, Sanford
    • PMC - Greenway Court - 1411 - 1413 Greenway Court, Sanford
    • PMC - Heather Glen - 15 Regional Drive, Pinehurst
    • PMC - Morganton Park - 200 Pavilion Way, Southern Pines
    • PMC - Murdocksville - 4204 - 4208 Murdocksville Road, West End
    • PMC - North - 8 Regional Circle, Pinehurst
    • PMC - Sleep Disorder Center - 245 Page Road, Pinehurst
    • PMC – Doctors Drive – 1816 Doctors Drive, Sanford, NC
    • PMC – Doctors Drive – 1818 Doctors Drive, Sanford, NC
    • PMC Gastroenterology - Pittsboro - 40 Ramseur Road, Suite 102
  • Specialties
    • Cardiology
    • Dermatology - Cosmetic
    • Dermatology - Medical
    • Electrophysiology
    • Endocrinology
    • Gastroenterology & Endoscopy
    • Hematology & Oncology
    • Medical Weight Management
    • Pediatric Care
    • Primary Care
    • Pulmonology
    • Rheumatology
    • Sleep Medicine
  • Services
    • Imaging
    • Infusion
    • Lab Services
    • 3D Mammography Screenings
    • Pharmacy
    • Virtual Visits
    • Walk-In Clinics
    • Wellness Department
    • PMC Acute Care Coordination (ACC) Program
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    • Senior Health Connect
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Home Resource Center Pediatric Care Patient Forms

Pediatric Care Patient Forms

  • REQUEST FOR MEDICATION TO BE GIVEN DURING SCHOOL HOURS
  • KINDERGARTEN FORM (ENGLISH)
  • KINDERGARTEN FORM (SPANISH)
  • PERMISSION TO ACCOMPANY A MINOR
  • PMC REGISTRATION FORM (AGES 2+)
  • PRIMARY CARE NEW PATIENT QUESTIONNAIRE (AGES 2+)
  • NEWBORN HISTORY & FAMILY MEDICAL HISTORY (0-24 MONTHS)
  • AGES & STAGES 2 MONTH QUESTIONNAIRE
  • AGES & STAGES 4 MONTH QUESTIONNAIRE
  • AGES & STAGES 6 MONTH QUESTIONNAIRE
  • AGES & STAGES 12 MONTH QUESTIONNAIRE
  • AGES & STAGES 14 MONTH QUESTIONNAIRE
  • AGES & STAGES 16 MONTH QUESTIONNAIRE
  • AGES & STAGES 18 MONTH QUESTIONNAIRE
  • AGES & STAGES 24 MONTH QUESTIONNAIRE
  • AGES & STAGES 36 MONTH QUESTIONNAIRE
  • AGES & STAGES 48 MONTH QUESTIONNAIRE
  • AGES & STAGES 60 MONTH QUESTIONNAIRE

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Pinehurst Medical Clinic

Pinehurst Medical Clinic
205 Page Road
Pinehurst, NC 28374
Phone: 910-295-5511

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