Patient Forms

To make your first visit as easy as possible, you can complete your forms before arriving. We know that patients who complete their paperwork prior to seeing the doctor feel more at ease during their first appointment. You can take your time at home to fill in as many of the fields as possible. Giving us a complete picture of your heath makes it possible for the oncologist to provide you with the best care possible.

If you are able, please return your completed forms to our office prior to your appointment.  You can return them via mail or fax to the location you are planning on visiting.

HIPAA Acknowledgement Form

Release of Medical Records

Patient Rights and Responsibilities

Patient History Form

Directions for CT

CT History Form

CT Medical Release Form

For Medical Professionals:

Referral Form

Referral Form: Cary Location Only