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Forms and Resources

FormsOdiBOMed2018-03-26T14:17:47-04:00

Forms and Resources

Forms
  • Assignment of Benefits
  • Consent for Toxicology Testing
  • Medical Record-Information Release Form
  • Notice of Receipt for Privacy Practices
  • Prescription Agreement
Resources
  • Coming Soon

CONTACT US

ODIBO MEDICAL GROUP
1099 Medical Center Drive
Suite 100-A
Wilmington, NC 28401

Phone: (910) 228-5894
Fax: (910) 228-5897
Email Us

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Treatment & Services
About Us
Forms & Resources
Frequently Asked Questions
Accepted Insurance
Contact Us

HOURS OF PRACTICE

Monday 9AM - 5PM
Tuesday 9AM - 5PM
Wednesday 9AM - 5PM
Thursday 9AM - 5PM
Friday Closed
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