West Cary Psychiatry
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​New Patient Forms

ONLINE FORMS FOR NEW PATIENTS
These are the links to the online version of the new patient paperwork for West Cary Psychiatry. Please click on each link individually and complete the requested information, including the release of information form if you are transferring your care from another provider.
New Patient Demographics
Treatment Agreement/Financial Policy
New Patient Past Psychiatric History
Release of Information Form

OTHER ONLINE FORMS

Credit card on File-Word
CREDIT CARD ON FILE-Online
Password for Form: WcpCC377*

QR Link to Online CC Form

QR Code for Jotform form

POLICIES AND PROCEDURES
This file is the policies and procedure for West Cary Psychiatry. These are the terms to which you are agreeing in the new patient paperwork.
wcp_patient_policies_and_procedures.docx
File Size: 245 kb
File Type: docx
Download File

PRINTABLE FORMS
Please use these links to download a paper copy of the new patient paperwork if you prefer not to use the online forms
np_medical_information_form.docx
File Size: 24 kb
File Type: docx
Download File

wcp_new_pt_registration_form.docx
File Size: 50 kb
File Type: docx
Download File

Contact us at:
​(919) 377-1042 * office
(919) 234-0278 * fax
​(866) 694-9193 * fax
[email protected]
Social Media
  • Home
  • Telehealth
  • Services
  • Testing
    • Testing Forms
  • WCP Forms
    • New Patient Forms
    • Testing Forms
    • Refer to WCP
    • Forms for existing patients
  • Information
    • Practice Newsletters and Policy Updates
    • Clinicians
    • Location
    • Insurances
    • Telehealth
  • Contact
  • Useful Links
    • Therapeutic Bookshelf
    • Meditation/Breathing