Alert

Patient Forms & Information

If you are interested in making an appointment for a consultation, please contact us at 919-784-1410. There are some minor procedures that may be performed in our office. For your convenience, we have compiled a list of frequently asked questions (FAQs) that our patients ask. Health insurance is filed as a courtesy by our staff. We ask that patients please provide current and accurate information regarding insurance coverage.

Save time at your appointment by filling out these forms ahead of time. Use this link to print the forms, then fill them out and bring them with you to your appointment.

Patient Forms - English

Patient Forms - Spanish

Medical Record Release Form

Notices

Patient Rights - English

Patient Rights - Spanish

Billing & Insurance

Health insurance is filed as a courtesy by our staff. We ask that patients please provide current and accurate information regarding insurance coverage. We are participating providers for Medicare, Medicaid and various HMOs and PPOs. All co-payments are expected at the time of service. Any outstanding balance that remains after payment from the insurance company is due within 30 days. We accept cash and checks. View our list of accepted insurance plans.

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