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Home > Patient Forms & Information
Save time at your appointment by filling out these forms ahead of time. Use this link to print the forms, then fill them out and bring them with you to your appointment.
Patient Pre-Registration Forms
Patient Pre-Registration Forms - Spanish
General Consent for Treatment Form - Spanish
Please fill out the forms below if you are scheduled for one of these procedures. If you have any questions, please contact our office at 919-784-7874.
Bariatric Surgery Forms - English
Bariatric Surgery Forms - Spanish
Breast Patient Pre-Registration Forms - English
Breast Patient Pre-Registration Forms - Spanish
Medical Weight Loss Forms – English
Medical Weight Loss Forms – Spanish
Psychiatry Consent for Treatment - English
Psychiatry Consent for Treatment - Spanish
Patient Rights - English
Patient Rights - Spanish
130 Glendale Drive W.
Wilson, NC 27893
300 Ashville Ave.
Cary, NC 27518
10208 Cerny St.
Raleigh, NC 27617
2076 NC Highway 42 W.
Johnston Professional Plaza, Suite 210
Clayton, NC 27520
6602 Knightdale Blvd.
REX Healthcare of Knightdale, Suite 201
Knightdale, NC 27545
North Carolina Surgery2800 Blue Ridge Road, Suite 300Raleigh, NC 27607 919-784-7874 T 919-784-2708 F
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