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Patient Forms

Patient Forms at Cape Fear Physical Medicine and Rehab in Fayetteville, NC

Expedite your visit at Cape Fear Physical Medicine and Rehab by having your forms ready. Submit your new online patient registration form before you arrive. Contact us for more information.

New patient?

Fill out our registration forms

New Patients Form

New Patients Insurance Form

Already a patient?

Use the portal below to request appointment times and prescription refill requests.

Patient Portal

*In case of a life threatening emergency, immediately call 911.
**For any medical procedure, patients respond to treatment differently, hence each patient’s results may vary.
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*****If you are vision-impaired or have some other impairment covered by the Americans with Disabilities Act or a similar law, and you wish to discuss potential accommodations related to using this website, please contact us.

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Patient Forms

Patient Forms at Cape Fear Physical Medicine and Rehab in Fayetteville, NC

Expedite your visit at Cape Fear Physical Medicine and Rehab by having your forms ready. Submit your new online patient registration form before you arrive. Contact us for more information.

New patient?

Already a patient?

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