Registration Forms
Please download or complete the 'Adult Registration Form', 'Minor Registration Form',
'Cosmetic Registration Form', or 'Release of Medical Records' Form online.
If downloaded, please print and fax your completed form (919) 484-0667,
or bring your completed form to our office for your appointment.
If completed online, your form will be submitted electronically, and will be on file during your visit.
To expedite your visit, please fill out your registration papers early!
This will save time when you come into the office.
Click Here to DOWNLOAD and complete the Adult Registration Form.
Click Here to complete the Adult Registration Form ONLINE.
Click Here to DOWNLOAD and complete the Minor Registration Form.
Click Here to complete the Minor Registration Form ONLINE.
Click Here to complete the Cosmetic Registration Form ONLINE.
Click Here to complete the Release of Medical Records Form ONLINE.