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forms

Forms

We welcome you as a new patient.

After you have scheduled your appointment and before your first visit, please download, print out, and complete the new patient forms. Be sure to bring them to your first appointment.

New Female Patients

New Male Patients

Semen Analysis

Provider Referral Form

When scheduling a new patient appointment please have your insurance card available and be aware that we do require a credit card on file for all new patient appointments.

If  you need to reschedule an appointment please call the office at 919-248-8777 as soon as possible. If it is less than 48 hours before your scheduled visit you will be charged a $50 fee. No show fees apply to in-person and telehealth visits.