Family Doctor CaryNC
Family Doctor CaryNC

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Registration Form 1 of 2: Please complete the two secure forms and read the policies below. At our office, you will simply have to do the signatures and present your insurance card. Thank you!

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Registration 2

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New patients: It is most helpful if you bring your immunizations and recent records with you. You may wish to fill out the Adult Health History Form below to assist in completing your record. If you are coming for a Well Visit or New Patient Visit, please fill out the survey on the How's Your Health tab and submit it to the practice. Thank you! 

Patient History.pdf
Adobe Acrobat document [37.0 KB]
Transfer Records to Us
New patients should obtain previous records
Transfer Records Here.docx
Microsoft Word document [146.2 KB]
Transfer Care Out
All Medical Record Requests must be made in writing
Records Release Transfer Out.docx
Microsoft Word document [146.5 KB]
HIPAA
Notice of Privacy Practices.doc
Microsoft Word document [14.9 KB]

Office policies

  • We do not do forms or reports for long-term disability pay (greater than 1 month of paid leave)
  • We do not write notes excusing patients from jury duty.
  • New patients who do not come to the first scheduled appointment will not be able to reschedule (including if you leave a message on our machine after the office closes for the day prior to your appointment). 
  • Adults should call, register and make appointments for themselves rather than have someone else call (until they let us know in writing on the registration form that their health information may be shared). 
  • Referrals to specialists and Prescriptions for any medications, durable medical equipment, Xrays, blood work, vaccines and testing supplies should be obtained at doctor visits

*Other pages on this website give office hours, directions, contact info, insurance participation, refill information, fees and practice information. 

 

Family Doctor CaryNC, PLLC
200 Keisler Drive, Suite B

Cary, NC 27518


Phone: (919) 859-7177

Fax: (919) 645-0028

Secure E mail: 

email@familydoctorcarync.com

 

 

 

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