Wake Physician Practices
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Patient Information and Forms

Patient Information Raleigh CardiologyWelcome! We'd like to take this opportunity to welcome you to our practice and to thank you for choosing WakeMed Physician Practices - Raleigh Cardiology. We are constantly striving to make our patients' visits more efficient. We invite you to begin your new patient registration as soon as you'd like by following these directions:

Get Directions to Our Office

Patient Forms

Notice of Privacy Practices
Patient Registration Form
Patient Registration Form (Spanish)

Prepare for your Office Visit
In addition to completing the above forms, we will also require the following information for your fist visit:

  • Driver's License or Other Valid Government-Issued Photo Id
  • Insurance card and any co-payment due for visit
  • If applicable, any referral form
  • If applicable, any X-Rays, MRI Films, CT Scans, or EMG
  • If applicable, any pertinent medical history such as lab results

We Look Forward to seeing You!
Please arrive 20 minutes early if you have not yet filled out these forms. If you have completed forms with you, you only need to check in with the reception desk 5 minutes before your scheduled appointment.

Thank you for your assistance completing this information. We look forward to seeing you on the day of your appointment.