Easy Registration Begins Here!

For New Patients

Establishing yourself as a new patient at CFMC has never been easier! It all starts with getting registered. Registration helps us correctly identify you and your past medical history so that we can give you the very best care you deserve.

We have an easy to fill out registration packet you can get below. It contains the following information:

  • Registration Form
  • HIPAA Form
  • Consent Forms
  • Patient Rights & Responsibilities
  • 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 have filled out the form, return it either in person or by mail.

Caswell Family Medical Center
PO Box 1448
Yanceyville, NC 27379

Once we receive your registration packet, we will contact you with your appointment date and time.