Forms

First Appointment Forms:

 

We look forward to uplifting your relationship in the Charlotte office location.

Bring to Your First Appointment:

  • - Completed Intake Forms 

  • - Insurance Card (Please confirm your copay/deductible amount)

  • - Choice of Payment: Exact Cash, Credit/Debit Card or Flex Medical Card

 

Call Now:    704-820-4293

Bookings:    Online Schedule

admin@UPretreats.com   |   801 East Morehead St. Ste. 105 Charlotte NC 28202    |    704-830-0520 fax