FORMS: Please print and fill out all the forms listed below. Bring all of them to your first appointment.
INSURANCE: If you wish to use your insurance you must fill out the Insurance Information section at the bottom of the New Patient Data and Insurance Form listed below. You may need to contact your insurance company for some of this information. Bring this form with you to your first appointment.
New Patient Data and Insurance Form
Provider - Patient Treatment Agreement
Consent for Release of Information
Missed Appointment Policy Form
At the present time I have a few daytime appointments available at both of my Raleigh locations.
Please review our practice's privacy notice by clicking this link.
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