Request Appointment

If you would like to request an appointment at our hospital, please fill out and submit the form below, call us at 919-752-5319. Please note that the form below is only a request; someone from our office will contact you shortly to confirm a date and time for your appointment. If your matter is URGENT, or you feel you are experiencing an EMERGENCY, please call us immediately at 919-752-5319 and DO NOT use the form below.