The online form below is one of the options we have to make appointment scheduling an appointment with a primary care provider easier for our patients. In addition to completing the form below, appointments can also be made by:
- Calling our office at 919-544-6461.
- Sending an email to firstname.lastname@example.org.
- Submitting a request through our Patient Portal (for current patients).
After you submit your request, you should receive a response from one of our staff members within 24 business hours. Thank you![ccf_form id=”1742″]
ALERT! Our forms are currently doing weird things, so the forms will look like they are not working. If your browser times out and gives you an “unexpected error” when you submit the form, please trust that we did actually receive your submission! We are working on a way to fix the problem now, but thought we’d at least put up this message until things have resolved. We apologize for the inconvenience! ~ Ryan on April 4, 2017