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Please complete this document and return it to our office either in person or by fax. This form cannot be emailed to our office.

Our fax numbers are:

  • Cary: 919-467-5315
  • Apex: 919-290-1086
  • Fuquay-Varina: 919-557-2168.

Have questions? Learn More

If you would like more information, there is a more detailed handout available from the portal software’s creator PCC.

Please note that not all features on this handout are available on our patient portal.