Registration Form
Print our registration form, then fax or mail the completed form to our office.
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Click the link below to print the registration form. Please mail or fax the completed form to our office. Our fax is 919-933-6881.
Authorization Form
Our authorization form requires your signature; therefore, you'll need to download it, print it out, and fax or mail the completed form to our office.
Click the link below to view and print the form. Please mail or fax the completed form to our office. Our fax is 919-933-6881.
HIPAA Notice of Privacy Practices
This Notice of Privacy Practices describes how we may use and disclose your protected health information (PHI) to carry out treatment, payment or health care operations (TPO) and for other purposes that are permitted or required by law. It also describes your rights to access and control your protected health information. You may view and download it below.
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