Patient Resources
New Patient Packet
There are two ways to submit the New Patient Packets- Electronically or Print.
To Print:
Download the new Patient Packet and complete on your phone, tablet or computer. Print out the form and bring to your appointment.
To Submit Electronically:
Download the new Patient Packet and complete on your phone, tablet or computer. Save the completed form to your phone, tablet or computer. Click on the submit button on our webpage and an email will open automatically addressed to our infobox. At that time you will need to attach the new patient forms from your phone tablet, or computer to the email.
Financial Policy
If you need any assistance,
please call the billing department at (336) 379-9708
Notice of Privacy Practice
How Carolina Kidney Associates, PA protects your medical information.
Notice of Privacy PracticePay Your Bill
We accept all major credit cards.
Payments can be made with our payment portal.
Patient Assistance Programs
Novartis Patient Assistance Foundation
Phone: 1-(800)-277-2254
Fax: 1-(855)-817-2711
P.O. Box 52029, Phoenix, AZ 85072-2029
Monday-Friday 8:00 a.m. to 8:00 p.m. Eastern Time Zone
Patient Assistance Foundation Enrollment Form
NPAF Application
Rayaldee (Calcifediol) Patient Assistance
Phone: 1-844-414-OPKO
Fax: 1-844-660-7083
Genentech Patient Foundation
Phone: (877) 436-3683
Fax: (833) 999-4363
Prescriber Foundation Form
Patient Consent Form
