New Online, Fillable Forms Available Below!
Additional Checklist Items
- If you are a diabetic, please bring a written log of your recent readings or bring your glucometer.
- If you are addressing blood pressure readings at home, bring your home BP machine so we can check its accuracy.
- Current insurance information and cards
- Co-pay and deductible payments
- All medicines you are currently taking including herbals and vitamins
- Any recent medical records from other physicians
All New Patients With Appointments, Please See New Online, Fillable Forms in The Next Section Below.
*Please do not complete if you do not have an appt. Call our office at 336-373-0611 to schedule.
Please Ensure You Are Completing The Forms Under The Correct Doctor That You Are Seeing. Please Complete All 6 Under The Correct Doctor. Thank You!
New Patients Seeing Dr. Ramachandran, Dr. Collins, Katie Tate or Mary Prevost Please Fill Out and Submit The Online Form Below:
New Patients Seeing Dr. Pharr Please Fill Out and Submit The Online Form Below:
New Patients Seeing Dr. Aryal or Dr. Sockman Please Fill Out and Submit The Online Form Below:
New Patients Seeing Dr. Balan or Jessica Easley Please Fill Out and Submit The Online Form Below:
