Please view forms below for patients and referring offices.  Any forms that require faxing may be faxed to our office at 919-234-0494.

Forms may also be sent to our secure email ( [email protected] ). 

Any forms received must be filled out entirely. 

Please note that electronic signatures are not accepted for HIPAA/Release of Information forms.

Release of Information Form/HIPAA 


Referral Form for Providers


2023 Updated Patient Information Form
*(required for existing patients prior to their first appointment of 2023, or if insurance/information changes between appointments)