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Kernodle Clinic, 2nd Floor

1234 Huffman Mill Road, Burlington, NC,

366.506.1244

information@alluremedicalnc.com

Before You Visit

Directions / Medical History Forms

Directions

 

For more detailed driving directions, click on the map to go to Mapquest.

From I-40, take exit 141 for Huffman Mill Road.  If you are coming from the east, take a left at the stoplight at the end of the ramp.  If you are coming from the west, take a right at the stoplight at the end of the ramp.  Turn left into the main entrance of Alamance Regional Medical Center.  Follow directional signs for Kernodle Clinic.

 

Medical History Form

In order to save time, you can download a medical history form and or a general consent form from our web site.  Clicking on the links below will open the appropriate PDF file.  After you print it off, you can fill the form(s) out and bring the completed form(s) with you to the office.  This will help reduce your waiting time.  If you do not have a program to open PDF files, click here and download Adobe Reader.

Client Information & Medical History Form

General Consent Form