Patient Information

How to get started as a patient

Below you’ll find the forms, documents, and step-by-step instructions to get started. Our team is committed to making the enrollment and appointment process as smooth as possible so you can focus on what matters most — your health.

Complete Your Forms

We’ll need the following forms before your first visit

(available in English & Spanish)

Consent For Treatment
English | Spanish

Registration Forms
English | Spanish

Sliding Scale Forms
English | Spanish

Release Of Information
English | Spanish

Make an Appointment

Call 919-956-4034

Monday-Friday
7:30 AM – 5:00 PM

Please arrive 15 minutes early and bring all of your medications with you.

Bring the Required Documents

To stay registered and qualify for discounted care, bring your co-pay and:

Proof of Income

  • Recent W2, paystub, or tax forms
  • Employer letter with gross income & pay schedule
  • Social Security benefit letter

Proof of Identification

  • Driver’s license, Medicaid card, or military ID
  • Birth certificate or Social Security card
  • Work/school ID or immunization record

Proof of Residence

  • Utility bill
  • Driver’s license or Medicaid card
  • Bank statement
  • Rent/mortgage receipt
  • DMV ID card

Proof of Insurance

  • Your insurance card or verification letter

We’re Here to Help!

If you have questions about forms, documents, or scheduling, please give us a call. Our team is happy to guide you every step of the way.