Please use the link below and fill out the Online Health History Form:

Online Health History Form (Click Here)

If you prefer to print the Health History Form, please use the link below:

  • Patient Form (Child) PDF | DOC
  • Patient Form (Adult) PDF | DOC

If you're unable to open PDF files, you can get Adobe Reader® for free.

Our Location

Contact Us

(919) 233-0668 540 New Waverly Pl # 110, Cary, NC 27518
Monday - Wednesday:
8 am - 5 pm with lunch from 1 pm - 2 pm
Thursday: 7 am - 1 pm