1411 Greenway Court Sanford, NC 27330 Phone: (919)776-3750 Fax: (919)776-3760

Home

Providers

Services

Office

On-line

E-Visit

Insurance

Carriers

Billing Procedures

Forms

New Patient

Office Forms

Lee County Schools

FAA

Misc

Resources

Health Library

FAQ

HIPAA

Useful Links

Contact Us

Family Doc Counseling

Put your health in the hands of people who care.

E-Visit with The Family Doc


There will be a $35 charge for this service.  This charge will be invoiced to YOU directly, and not through your insurance company. In sending this email, you are giving your consent to be billed for this service.   

If you are experiencing a life threatening or urgent situation, please call 911 immediately.
 
First Name
Last Name
E-mail Address
Date of Birth
Preferred Pharmacy Name and Location
Preferred Pharmacy #
Please list any allergies
Symptoms you are having
Medical question or concern
Other
Privacy Disclaimer: By sending this email, you are giving The Family Doc permission to use this form of communication to discuss medical content.  There are certain security risks in using this method- including, but not limited to, exposure to an unintended third party- e.g. other parties on the patient's end may have access to their email accounts, or a privacy breach by using an employer's unsecured  e-mail network.
   

Practicing Family Medicine, Along With Practicing The Golden Rule, Certainly Gets People Talking About You. 
Home    Providers    Services    Pastoral Care    Insurance    Forms    Resources    Contact Us    Family Doc Counseling