UNC Specialty Care at Chatham

• Acknowledgement of Receipt of Notice of Privacy Practices
  
• Authorization for Release of Medical Information
• Financial Assistance Policy
• Política de Asistencia Financiera
• General Consent for Treatment
• Consentimiento General para el Tratamiento
• Limited Release of Health Information: Friends and Family
• New Patient Medical History
• Notice of Privacy Practices Brochure
• Notice of Separate Billing
• Patient Information (Demographics)
• Formulario de Información del Paciente

To make an appointment, please call 919-799-4050.

To ensure you can get the care you need, UNC Physician Network practices participate in a wide range of health plans and accepts most major insurance providers; however, it is important that you contact your insurance provider before receiving treatment to verify that you have full coverage. You should also determine your individual plan requirements regarding referrals, authorizations and co-pay/deductible amounts. View a list of our health plans accepted.

You can request prescription refills or submit questions to your physician regarding your medication by using our online patient portal. If you do not have a My UNC Chart account and you need a refill, contact your pharmacist before your supply runs out. This allows ample time for the pharmacist to obtain approval from the physician to prepare your medication. Refills are not handled after hours or on weekends. If you have any questions about your medication, or if you're experiencing difficulty taking your medications, bring it to the attention of your pharmacist and our clinic.