• (919) 875-8150
  • Fax: 703-591-6105
  • 3500 Bush Street Raleigh, NC 27609
Family Medical Associates of Raleigh
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Family Medical Associates of Raleigh
  • Home
  • About Us
  • Our Providers
  • Services
  • Forms & Insurance
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  • Office Policies
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Menu
  • Home
  • About Us
  • Our Providers
  • Services
  • Forms & Insurance
  • Frequently Asked Questions
  • Office Policies
  • Contact & Location

Forms & Insurance

Home » Forms & Insurance

Patient Privacy and Forms

If your appointment is an Annual Physical:

  • Annual Physical Adult
  • Annual Physical Adolescent (12-18)
  • Annual Physical Child (0-12)
  • Annual Medicare Wellness Visit Packet
  • Annual Medicare Wellness Visit Advance Directives

If you are a New Patient:

  • New Patient Forms
  • New Patient Information
  • New Adult Patient Packet
  • New Adolescent Patient Packet (12-18)
  • New Child Patient Packet (0-12)

Other forms:

  • FMAR Notice of Privacy Practices
  • Release of PHI Authorization Form
  • Patient Registration Form
  • Medical Records Form
  • Patient Acknowledgment and Consent Form
  • Patient Responsibilities Form
  • Patient Financial Responsibility Policy
  • DEXA Questionnaire
  • DOT Medical Examiner Form

Insurance

  • Family Medical Associates of Raleigh (FMAR) List of Insurance

Please Note: We are unable to accept referral patients from Dr. Lapps office. Dr. Lapps has retired.

Call Us at 919-875-8150

If you are having an emergency, please call 911.

  • If you need to speak with a provider urgently, please call the office and follow the instructions. We do not respond to portal messages after hours or on weekends. If you have an urgent health need, please call 919-875-8150 and follow instructions to reach the answering service.

Family Medical Associates of Raleigh

Telephone for all Offices

919-875-8150

Fax for all Offices

919-875-9577

Mailing Address
3500 Bush Street
Raleigh, North Carolina 27609

Our Location Hours:​
Monday through Thursday 
7:00 am to 6:00 pm
Fridays
7:00 am to 5:00 pm
*Except 12:00 – 2:00 pm 2nd and 4th Wednesdays,
and 1st Thursday of each month.

If you have an urgent health need, please call our office number 919-875-8150 and follow the instructions to reach our answering service.