Alternatively, your clinician may request that you visit the PPAD Patient Portal  to complete registration forms

PPAD

Forms to Download  

4004 Ben Franklin Blvd. 

Durham, NC 27704

​919-479-1600

919-479-5551 (fax)

​Click on the links below to download, print and complete the registration forms to bring to your initial appointment.

• ​Patient Information
• Patient Questionnaire
  
• Patient Consent
  
• Patient Consent-Telehealth ​
• ​Privacy Notice

To read and print a PDF file, you must have. Adobe® Acrobat® Reader installed on your PC: click on the image below to download Adobe