Click here to download the Patient Registration Form.

Please fill out all registration forms and bring them to your appointment.

Effective 5/1/11

All copay and coinsurance payments are required at the time of service or we will be forced to reschedule your appointment. You are responsible for understanding and complying with the contracts you have with your insurance companies.

Thank You

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Medical Release Forms

Click here to download our Medical Records Release Form to Alamance ENT & Facial Plastic Surgery.

Click here to download our Medical Records Release Form to another Provider.

Thank You