Call us at   (919) 366-6599 to schedule an appointment

The following PDF forms can be downloaded, printed and filled out prior to your visit to expedite your appointment. Please bring these forms with you to the office. To protect your privacy and medical history, we cannot accept any forms via email.

Records Release Form

Print Records Release Form

HIPPA Form

Print HIPPA Form

Medical History Questionnaire

Print Medical History Questionnaire

Contact Fitting & Evaluation Agreement

Print Contact Fitting & Eval. Form

Consent of Release of Information

Print Release of Information Consent Form
We'd Love To Hear From You! Leave Us a Review: Google Review Facebook Review