4022 Freedom Lake Drive, Durham, NC  27704, PH:919.477.2202
5315 Highgate Drive, Suite 101, Durham, NC  27713, PH:919.544.2049

 

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Forms Online

To help expedite visits to our locations, we have provided the following forms available online.  Please download, print and complete these forms when needed and this will save you time at your scheduled appointment.

The following forms are available for your convenience

Authorization to Consent to Health Care For Minor

Patient Medical Information Sheet

Notice of Privacy Practices

Notice of Privacy Practices Acknowledgement Form

Assignment of Benefits/Financial Responsibilities