Becoming a new patient at CFMC has never been easier!  It all starts with getting registered.  Click here for a PDF version of our patient registration packet.  You'll notice it contains several sections:

  • Registration Form
  • HIPAA Form
  • Consent Forms
  • Patient Rights & Responsibilities; and
  • Sliding Fee Application*
    Note:  The sliding fee application is optional.  You only need to complete this part if you are in need of assistance paying for your healthcare.

Once you've completed the packet, return it either in person or by mail to: Caswell Family Medical Center, PO Box 1448, Yanceyville, NC  27379.

When we receive your packet, we will contact you with an appointment date/time.

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