Step 1: Do you have insurance?

We accept the following insurance plans: 

• Blue Cross Blue Shield
• Cigna
• Medicaid
• Medicare
• NC Health Choice
• United Health care
• Wellpath
• Medcost
• Human Choice Care

If you do not see your insurance company in this list, please do not assume we don’t accept it; please call one of our offices to verify.
If you DO have insurance please call the office nearest you to make an appointment. Also, click below to complete page 1 of the Registration form in English. In Spanish.   (See Page 1)

Step 2: Don’t have insurance?

We have a Sliding Fee Scale  Discount Program based on family size and income. To complete the form you’ll need the following:

• Picture ID for patient and all adult members of your family claimed as dependents.
• Proper ID of all children (school ID, insurance card, social security card, birth certificate) for dependents under the age of 18.
• Paycheck stubs showing GROSS financial Income for most recent 30 days for all working, claimed dependents living in the home.  (Current tax returns, Schedule C if self-employed.)
• Proof of pension statement,  proof of social security/retirement/disability payments. For letter, call Social Security Administration at 1-800-772-1213.
• Proof of alimony and/or child support. For letter, call court where ordered.
• Proof of unemployment.  For unemployment letter, call Employment Securities Commission 1-888-737-0259.
• Proof of county residence.
• Sliding Fee Application in English. In Spanish.  (See Page 2)

Step 3: Please bring your COMPLETED Sliding Fee APPLICATION to the office you wish make an appointment.

When you have completed the form, please call the site or deliver it in person.  Faxed forms cannot be accepted unless the site has spoken with you directly. You will need to bring all the required documentation listed above. Applications are accepted at all sites during normal business hours.

Step 4: When your application is approved (usually within days) we will call you and schedule your appointment.

Please print and complete these forms, and bring to your appointment:

• HIPAA Patient Privacy ENGLISH         HIPAA Patient Privacy SPANISH
• Patients Rights & Responsibilities ENGLISH      Patients Rights & Responsibilities SPANISH
• ADULT Medical History Form ENGLISH       ADULT Medical History Form SPANISH
• PEDIATRIC Medical History Form ENGLISH      PEDIATRIC Medical History Form SPANISH
• We advise you to bring any previous medical records you may have that would assist our staff with your medical care when you come for your appointment. Please discuss this process with our staff before your first appointment.

Step 5: Make a Payment

Payment (or co-payment) is due at the time of services.  We accept in-state checks, money orders, Visa, MasterCard and Discover Card. 

We are committed to providing you the best possible care regardless of your ability to pay.  However, we are not a FREE clinic, and our Sliding Fee Scale Discount does require a modest co-pay.

PLEASE READ our full FINANCIAL POLICY: 
IN English 
IN Spanish 

Your understanding of our financial policies is important to our professional relationship. PLEASE ASK if you have any questions about our fees, our policies/documents/doc and procedures, or you need us to explain how these apply to your specific situation.