Triangle Community Physicians P.A.
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  • Home
  • Office
    • About Our Providers
    • Office Policies
    • Request an Appointment
    • Financial & Insurance
    • Map & Directions
    • Prescription Refills
    • Patient Forms
  • Patient
    • About Internal Medicine
    • First Visit
    • Chronic Conditions
  • Treatment
    • Services
    • Preventive Medicine
  • Miscellaneous
    • Related Links
  • Contact Us
  • Patient Portal
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About Our Providers
Office Policies
Request an Appointment
Financial & Insurance
Map & Directions
Prescription Refills
Patient Forms

Patient Forms

h-smile4You may access the following forms to assist us with your care. Please print the required forms, fill out completely and bring them with you to your appointment. We appreciate your cooperation in helping us to provide you with prompt service.

  • New Patient Packet
  • Health History Adult
  • Health History Adolescent
  • Health History Pediatric
  • HIPAA Notice of Privacy Practices
  • Uninsured Patients
  • Authorization for Release of Medical Records

Patient Forms
*These forms require Adobe Acrobat Reader to view. If you do not have Adobe Reader already installed on your computer, click the Adobe logo to download.

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Triangle Community Physicians P.A.

  • TRIANGLE COMMUNITY PHYSICIANS P.A. - 4309 Medical Park Dr., Suite 200, Durham, NC 27704 Phone: 919-471-4484 Fax: 919-477-6131
  • Forrest City Location - 602 N. Washington St., Forrest City, AR 72335 Phone: 870-633-8004

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