Patient Information Forms
Whether you are visiting our Sanford or Cary Clinic, our aim is to make your clinic visit efficient and convenient. To facilitate a smooth check-in process and speed up your service, please complete our pre-appointment patient information forms. Simply click the provided link to access and download these forms, which enable our experienced family care specialists in Sanford and Cary, NC to prepare in advance for a personalized and effective approach to your treatment. Your privacy is paramount, and the information provided will be securely used solely for your medical care. Thank you for choosing us as your healthcare provider, and we look forward to providing you with the highest level of care during your visit. If you need any assistance, contact us. See you soon!
Forms
Click to download and complete our patient information forms prior to your appointment for faster service.
Medical History Forms
Please choose the age-appropriate Medical History Form from the following forms.
New patients from newborn to age 12, please fill out this form:
New patients aged 13-20, please fill out this form:
New patients over age 21, please fill out this form:
Resources for Helpful Forms
Power of Attorney
Power of Consent
Living Will