Patient Forms & Policies

For your convenience, please find our most commonly used Wake patient forms below.

1st Appointment Info

Patient Registration Form

View Form

Health History Form

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Scheduling Questionnaire

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Medical Records Release

Release Info

Medication List

View Form

Endoscopy Payment Policy

View Policy

Medicare Billing Info

View Policy

Prescription Refills

Refill Info

Cancellation & Rescheduling

View Form

Mammography Forms

Mammography Release Form

Mammography Release Form

Continuing Care Form

Continuing Care Form

Prior Release Form

Prior Release Form

Implant Consent

Implant Consent

Getting Ready for Your First Appointment

Please read through the information below to prepare you for a successful first appointment. The more prepared you are for your appointment, the more satisfied you’ll be.  Please download, print and fill out the registration form, medical history form, and medical record release form prior to your appointment. Doing this will help speed up our service to you and our other patients.

What you should bring to your first appointment:

  • Your current insurance card
  • A photo ID
  • Previous medical records
  • Recent x-rays, procedure reports, or other relevant medical information
  • Physician Referral forms when required to see a specialist
  • Your current medications include both prescriptions and over-the-counter