Pediatric Neurology Of North Carolina
Pediatric Neurology of North Carolina has closed effective 31 Oct 2013.
Outstanding Balances (bills):
Pediatric Neurology of NC must collect all outstanding balances.
Non-payment may lead to referral to a collection agency and could affect your Credit rating.
To
pay a bill, if you know the exact amount due, please pay via
(including most major Credit Cards). In PayPal there is a space to enter instructions :please type in the patient’s name and date of birth and any other details you wish to add.
Include the patient’s name, date of birth, your name, your question, and if you want to be contacted by phone (we recommend this) – a good phone number to reach you. Someone will email or call you back (whichever you requested).
Do not send your credit card info by email.
Medical Records remain available via a service.
To obtain medical records please complete the Records Request Form View/Download form and then:
Send the completed form as an attachment to: pediatricneurologyofnc@gmail.com and pay via
It is important to write legibly or type:
a. The name and date of birth of the patient
b. The name and address you want the records sent to [must be clear and legible].
[Note: the $10.86 is a copy charge (supplies and labor) along with current postage.]
[There are no additional fees for Searching, Retrieving or sending the requested information]
Records are prepared and sent out as quickly as possible but may take up to 30 days from receipt of request.
* If you send a request without a payment – nothing will happen.
* If you make a PayPal payment without emailing the Record Release Form - the records will be not be released without the form.
If the form is not received within 30 days, the records will not be released and the payment will be returned.
*If your mail-to address is missing or illegible – we will try to contact you but if you cannot be contacted, no records will be sent.
*Currently, payment is only via PayPal (where you can use your credit card).
*Medical records are only being sent via USPS (regular mail) or as a .pdf email attachment. (one or the other - not both)
No pick-up No Fax
It is recommended that you complete the form legibly including your phone numbers and email for any questions.
Medical Records are normally sent as a standard password secured .pdf file on a SD card or a CD or equivalent media. The password should be on the media – you may want to remove or cross out the password for privacy. If you would prefer a .pdf attachment to your email (which will save you 2 to 4 days) - you must initial this on the Release Form.
If needed, the password is 1Lastfirst. That is the number 1 followed by the patient’s last name – first letter is a capital and all the others lowercase and then without any spaces the first name all lowercase.
It has been our privilege caring for the children of North Carolina for the last 20 years. Thank you.