• Home

  • About Us

  • Membership

  • Our Services

  • Fees

  • COVID-19 Updates and FAQ

  • Office Policies

  • New Patient Forms

  • FAQ

  • Contact

  • A Doctor's Note

  • More

    Use tab to navigate through the menu items.
    980-819-4672 fax

    100 North Main Street

    Suite 150

    Belmont, NC 28012

    New Patient Forms (bring to first visit)

     

    • Patient Information Sheet

    • Patient Agreement

    • Terms of Service

    • Patient Financial and Medication Policy

    • Medical Agreement/Enrollment Form

    • Release of Information

    • Medicare Opt Out Agreement (for patients who carry Medicare Coverage ONLY)

    • Patient Health History

    ​​

     

    ​​

    ​​

    ​​

    ​​

    ​​

    What is DPC slide.png

    To reach us after hours please call 

    Landmark MD

    100 North Main Street

    Suite 121

    PO Box 1340

    Belmont, NC 28012

    For Life-Threatening Emergencies Call 911
    • Facebook Basic Black