Wake Forest Baptist Medical Center

Wake Forest Baptist Medical Center

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PAC Forms

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Patient IntakeForm - complete this form and bring it with you to your PAC appointment.
Patient Intake Form (Spanish)
Pediatric Patient Intake Form
Authorization for Use or Disclosure of Protected Health Information (for faxing)
Adult Consent Form
Adult Consent Form (Spanish)

Quick Reference

Preoperative Assessment Clinic

Main Campus PAC
336-716-3245
Comp Rehab PAC
336-716-8288
Pharmacy Technician
336-716-5836

Hours

Mon-Fri, 7 am-5 pm

Find a Doctor Ways to Give

Anesthesia

Last Updated: 04-29-2013

© Wake Forest Baptist Medical Center, Medical Center Boulevard, Winston-Salem, NC 27157. All Rights Reserved.

USNWR 2012-2013

Best Doctors 2011-2012 Award

Magnet Hospital Recognition

Independent Measures of Excellence

298 Wake Forest Baptist Physicians Named to Prestigious 2013 Best Doctors

Disclaimer: The information on this website is for general informational purposes only and SHOULD NOT be relied upon as a substitute for sound professional medical advice, evaluation or care from your physician or other qualified health care provider.