*Required fields are marked with an asterisk.
Patient Info


Please arrive early for your appointment to allow for proper check-in -- 15 minutes for established patients and 30 minutes for new patients.

Participating Insurance Companies
  • AARP
  • Aetna
  • Blue Cross Blue Shield (BCBS)
  • Blue Medicare HMO & PPO
  • Cigna
  • Champus / Champva / Tricare
  • Coventry
  • Humana Medicare HMO, PPO, & PFFS
  • Medicare
  • Railroad Medicare
  • Medicaid
  • Medcost
  • NC Health Choice
  • Primary Physician Care
  • United Healthcare (UHC)
  • UMR


Records Release Forms
Consent for Treatment of Minor Child



The above forms are in PDF format. You can download Adobe's free Acrobat Reader here.