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Prescription Refills


To expedite the refilling of your prescription, contact your pharmacy for a refill. Even if your prescription has expired, your pharmacy may obtain a new prescription by calling our office. Calling the office directly could result in a delay in obtaining the necessary refill. If your doctor has asked to visit with you prior to providing you with a refill, please contact the office to schedule an appointment within enough time to avoid a lapse in medication. Typically, there is a 48-hour wait for your refill. Medication refills will not be called in after normal business hours. If you will require a medication refill prior to your next scheduled visit, please inform your physician during your current visit.

 

Patient Forms

 

Patient Forms may be faxed to 336-625-0350 or can be brought in at your next visit.

 

Adult Patient Registration (English)
Adult Patient Registration (Spanish)

Adult Patient History
Child Patient History

Acknowledgement of Receipt of Privacy Notice (English)
Acknowledgement of Receipt of Privacy Notice (Spanish)

Notice of Privacy Practices (English)

Notice of Privacy Practices (Spanish)

Patient Rights and Responsibilities (English)

Patient Rights and Responsibilities (Spanish)

Insurance Participation
 

Accepted Insurance Plans 2023-2024

  • Aetna

  • AmeriHealth Caritas NEXT

  • Ambetter Exchange (Commercial Products ONLY)

  • BCBS

  • BCBS State Health Plan

  • BCBS State Health Plan Clear Pricing Project (CPP)

  • Blue Local Wake Forest/Randolph

  • Cigna/Great West

  • Cigna—RPN for Physical Therapy ONLY

  • Humana Military/TriCare East

  • MedCost

  • Medicaid

  • Managed Medicaid

    • AmeriHealth Caritas

    • Carolina Complete Health

    • Healthy Blue

    • UHC Community Plan

    • WellCare

  • Medicare

  • Multiplan

  • NC Health Choice

  • Railroad Medicare

  • VA CCN thru UHC/Optum (replaces TriWest)

  • United Health Care

    • All Savers Health Plan

    • Heritage UHC of River Valley

    • UHC Choice and Choice Plus

    • UHC Choice Advance & Advance Choice Plus

    • UHC Edge

    • UHC Navigate

    • UHC NexusACO

    • UHC Options PPO Plans

    • UHC Tiered Benefits Plan

    • UMR

    • UHC Compass HMO (Multiple Exchange Plans)

  • Workers Comp Carriers

    • Berkley Comp Care/Med Advantage

    • Clear Comp (PT only)                

    • Corvel/CorCare/Care IQ

    • Employer's Choice Network

    • Key Scripts

    • MedRisk

    • One Call Care (Formally Align)

    • Paradigm Specialty Networks

    • Reli (formerly Workwell)

    • Select Medical/RPN

    • SP Net Clinical Solutions

    • Sedgwick Provider Network (SPN)

    • US Department of Labor


Medicare Advantage Plans 2023-2024

  • AARP Medicare Complete Plan I, II & III

  • AARP Medicare Complete Choice (PPO)

  • AARP Medicare Complete (HMO)

  • AARP Medicare Complete Essential (HMO)

  • Advantra Gold Advantage

  • Aetna Medicare Premier Plan

  • Blue Medicare HMO & PPO

  • Cigna Medicare

  • Coventry Health Care

  • Devoted Health

  • Erickson Advantage Plans (UHC Product)

  • Health Team Advantage

  • Healthy Blue + Medicare

  • Humana Medicare

  • Liberty Medicare Advantage

  • Troy Medicare Advantage

  • United Health Care Dual Complete Plans

  • United Health Care Group Medicare Advantage Plans

  • WellCare Health Plans


HMO — Health Maintenance Organization have a defined network of contracted local physicians & hospitals to provide member care.

PPO — Preferred Provider Organization offer members access to a network of contracted physicians and hospitals, but also allow them the flexibility to seek covered services from outside of the contracted network, usually at a higher cost.


Insurance Participation is subject to change. If your insurance company is not listed above, please contact Patient Accounts at 336-625-6072 to verify if the coverage is accepted.

 

Please bring your insurance card to every visit so we can verify we have the correct information to properly file your visit to the insurance company. Let the receptionist know if your insurance, address, telephone number, emergency contact or employer has changed.

 

Questions Concerning Your Bill or Insurance

Should you have questions concerning your bill or insurance, please contact our Billing and Insurance Department at 336-625-6072. A courteous Patient Accounts Representative will handle your call.

 

General Questions, Policies and Additional Information

 

If you have any questions regarding your health care or our practice, please call us at 336-625-1007.

Patient Information

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