Medical Media Request Form

Fill out my online form.

Any request with a lead time of less than two weeks will incur an additional RUSH fee. If your request falls in this category, please contact Fred Jones or contact Dave Passine to see if we will be able to process your request.

CMC Auditorium Scheduling instructions using:
  • Microsoft Outlook 2002 (PDF, 152KB)
  • Microsoft Outlook 97 (PDF, 34KB)
  • The CMC Auditorium is owned and operated by Carolinas Medical Center. Any request for the usage of the Auditorium must come from CMC/CHS employees. Please call 704.355.5667 if you have questions about scheduling the CMC Auditorium for a program.

CHS - Authorization for Release of Health Information Form (PDF, 110KB)
A general consent form to be used for image capture of Carolinas HealthCare System events and marketing materials (still photography and video).
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