Medical Forms The following forms are for print only. Feel free to call us with any questions. Contact Us Release Records To Release Records From Notice of Privacy Practices Request An Appointment For all other inquiries please give us a call or notify us in the Patient Portal Name* First Last Email* Phone*Location*Raleigh OfficeCary OfficeTime Preferred*AM AppointmentPM AppointmentType of AppointmentPreferred ProviderQuestions / Comments*