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New Patient Forms


Please click on link below to create and submit new patient forms. Please make sure to answer all questions and upload a copy of your ID and all Insurance Cards.

Applications take up to 4 weeks before being approved. To expedite this process, we recommend providing all of your medical records for review as soon as possible.

New Patient Form

Family Medicine and Acute Care of Sandhills
181 Mittie Haddock
Cameron, NC 28326
Phone: 919-295-6792
Office Hours

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