To help us better serve you please present all completed forms upon checking in for your appointment.

PATIENT FORMS

Patient Resources
HEALOW was created to provide you with safe, online access to your medical records 24-hours a day. Whether you are completing your patient forms, scheduling an appointment, reviewing test results, or managing a family member's care, HEALOW is here to make your life easier.
  • HEALOW provides safe and easy access to print your medical records for upcoming appointments
     
  • Contains import discharge information about your tests, results, medication and more
     
  • Allows you to easily schedule follow-up doctor visits
     
  • Ability to manage the health records of each one of your family members.

Click here to print the

New Patient Packet

Click here to print the
Patient Referral Form

Click here to print the
Notice of Privacy Practices

Click here to print the
Duke Raleigh Hospital Map

Office Phone System Shortcuts

MIM has an automated phone system. It is NOT necessary for you to listen to the entire message. For your convenience you may bypass the automated message at any time during the process to be connected directly to your party.
Schedule appointment: Press 1
 
Medication refills: Press 3
Nurse/Other medical question: Press 4
Billing questions: Press 5
Medical records request: Press 6

3320 Executive Drive, Medical Office Building 3, Suite 222

Raleigh, NC 27609-7445

Phone: 919-877-1100 | Fax: 919-877-8118

FOR LIFE-THREATENING EMERGENCIES CALL 911

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