Patient Forms & Information
Download Forms
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 to Complete Before Appointment - ALL PATIENTS
Patient Pre-Registration Forms
Patient Pre-Registration Forms - Spanish
Specialty Forms
Please fill out the forms below if you are scheduled for one of these procedures. If you have any questions, please contact our office at 919-784-7874.
Bariatric Surgery Forms - English
Bariatric Surgery Forms - Spanish
Breast Patient Pre-Registration Forms - English
Breast Patient Pre-Registration Forms - Spanish
Endocrine Questionnaire
Medical Weight Loss Forms – English
Medical Weight Loss Forms – Spanish
Psychiatry Consent for Treatment - English
Psychiatry Consent for Treatment - Spanish
Patient Rights Forms
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.
