Documents

To submit your medical records please send an email MedicalRecords@carolinaasthma.com with the subject line: Last name, First name Medical Records.

or your convenience, we have included links to download a variety of helpful documents:

Allergy Tracker Information

Allergy Tracker Information – Español

Request for Access to Protected Health Information (to CAAC)

Request for Access to Protected Health Information(from CAAC)

Consent For Adult Other Than Parent to Accompany Minor

Appointment Referral Fax Form

Appointment Referral Fax Form – Hickory Office

Student Asthma Action Card

Quick Report Card — Asthma and Allergy School Assessment for Students

Notice of Privacy Practices (NOPP) document