Patient Forms

Here you can find the most common forms that we require before your appointment. For your convenience, you can download the forms, complete them and then bring them with you when you come for your appointment. If you are an established patient but have not been seen in over a year, you can save time at check-in by updating these forms and bringing them with you.

DOWNLOAD PATIENT FORMS

Please print the Patient Registration Forms, fill out all pages and bring with you to speed up your registration process.

New Patient Forms

New Patient Forms

Spanish

Notice of Privacy Practices

PHI Release

Patient Satisfaction Survey

Call Central Carolina Foot and Ankle Associates at 919-477-9333 for an appointment or click the link below.

PATIENT PORTAL ACCESS

We have a Patient Portal through Care Cloud that provides an easy way to update your information. You must receive a “token” number from our office and then register on the portal with a user name and log in. The process is very simple. If you are interested in having a portal account, please call our office today and request a “token” number. Anyone who answers should be able to provide this to you. Once you have an active portal account, we can upload your records and lab results with a click of the mouse!

Click the Care Cloud logo to sign in

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Central Carolina Foot & Ankle Associates

NORTH DURHAM
CENTRAL MEDICAL PARK
2609 N. Duke Street, Ste. 301
Durham, NC 27704
(near the corner of N. Duke St. and Stadium Dr.)
919-477-9333

SOUTHWEST DURHAM
HIGHGATE CENTRE
5107 Southpark Drive
Suite 202
Durham, NC 27713
(close to RTP and Chapel Hill)
919-544-2583