Please select the button above to fill out your paperwork online through our portal.  (No printing necessary)  If you are not comfortable with our online process, please call our office and do the paperwork her.

If you feel your HIPAA privacy protection has been violated you can contact Ivey Bramlett (252)568-6440 or fill out and file the attached form.  http://www.hhs.gov/ocr/privacy/hipaa/complaints/hipcomplaintform.pdf