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441 Lakestone Commons Ave
Fuquay-Varina, NC 27526
(919)-577-0481
FAMILY PRACTICE
New Patient Registration Form.pdf
Past History.pdf
Authorization of Release.pdf
Consent Form to Release Medical Information.pdf
Notice of Privacy Practices and Patient Consent.pdf.
Insurance Cards at Presentation.pdf.
Consent Form for Patient Care.pdf
Please print and complete forms prior to your first visit in order to expedite the registration process
