Angier Pediatrics & Adult Medical Center

FAMILY PRACTICE

441 Lakestone Commons Ave

Fuquay-Varina, NC 27526

(919)-577-0481

(919)-577-0481
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  • THE PRACTICE

    • INSURANCE
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    • PATIENT PORTAL
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    Please print and complete forms prior to your first visit in order to expedite the registration process

    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

    441 Lakestone Commons Ave

    Fuquay-Varina, NC 27526

    (919)-577-0481

    For Life-Threatening Emergencies Call 911

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