General Information

Read along for all general information for patients

  1. To help save time and get the best care you need:
    • Please read our policies (to be signed electronically during check-in)
    • Know whether your health insurance covers the visit
    • Expect at least an one hour first visit plus travel time
    • Complete new patient forms
    • Register on the Patient Portal
  2. Write out three lists to bring with you to share with your rheumatologist:
    • Medications, vitamins and supplements you take with dosage amounts
    • Symptoms you have been experiencing that are of concern
        1. pain, inflammation, disability you’ve experienced
        2. Onset of symptoms?
        3. Location of symptoms?
        4. Specific triggers?
        5. Treatments attempted?
    • Questions to ask your doctor at your appointment
To help reduce your waiting time, please bring the following items with you:
  • Health insurance card and driver’s license
  • Copay and Referral (if not sent electronically)
  • Completed New Patient Form
  • Copies of previous records related to this condition
  • Copies of blood work, X-rays/MRI reports with CD images, and hospital admissions from the past 12 months
  • Medication List as noted above
  • Pen and Notebook to take personal notes
  • Your personal calendar/schedule to schedule your next visit

We accept the following health insurance plans:

  • Blue Cross Blue Shield (Except Blue Local)
  • Cigna (Except Cigna Connect)
  • United Healthcare

We are not in network for Medicaid and can not accept payment from such patients as per CMS rules.

Please come at least 15 minutes prior to each appointment to ensure time for the check-in process. This will ensure, maximum time with your rheumatologist.

Due to skyrocketing operating cost of health care, it is very important for you and us to value each other’s time and commitment. Please give us a 48 hour notice to change your appointment to avoid a no-show fee.

Co-payment and past balances are due in full at the time of the check-in for all visits. Please confirm your visit with your health insurance before arriving to the visit. You are responsible for any fees including coinsurance and deductible for the services performed if they are not covered by your insurance. A detailed financial consent form will be provided and required to be signed on your first visit. Please note, we are not in network for Medicaid and can not accept payment from such patients as per CMS rules. Read complete financial policy here.

If you are having any symptoms suggestive of a life threatening emergency, please call 911 and go to any nearest hospital. If you have any other non-urgent question or concern, please call our office number (919) 344-0180 for further instructions. Your rheumatologist will be available over the phone to discuss urgent rheumatology issues only. For non-urgent issues please leave us a message and we will return your call within one business day. Non urgent messages left after 3 PM will be returned on the next working business day.

For routine refills please contact your pharmacy to request a refill electronically. Due to adverse risks of medications, a patient requesting renewals of medication who has not been examined within the preceding 90 days, will not be refilled. Related to certain medications, patients will be required to complete blood test every three months to allow continued usage of some medications and provide renewals.

Medications that require triplicate prescriptions are not issued by this office (i.e. Dilaudid, Percocet, Vicodin etc.). In general, if a patient is already being treated by a pain management physician, all medications will need to be managed by the patient's existing pain management specialist.

Medication renewals will be done during office hours and are not refilled during evenings or weekends.

Vacation/After Hours Policy

If you  have medical emergency please call 911 or go to nearest ER. For non-urgent medical issues please contact your primary care physician. For refill requests ask your pharmacist to send us an electronic request. Only for urgent rheumatology related questions please call (919) 344-0810 and you will directed to our urgent physician line. Please select the correct rheumatologist to be connected appropriately.

Cary Rheumatology & Arthritis Associates PA complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.

Cary Rheumatology & Arthritis Associates PA does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

Cary Rheumatology & Arthritis Associates PA:

  • Provides free aids and services to people with disabilities to communicate effectively with us, such as:

    • Sign Language software on physicians/staff phones

    • Written information in other formats (large print, accessible electronic formats, other formats)

  • Provides free language services to people whose primary language is not English, such as:

    • Qualified interpreters

    • Information written in other languages.

You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at, or by mail or phone at: U.S. Department of Health and Human Services 200 Independence Avenue, SW Room 509F, HHH Building Washington, D.C. 20201 1-800-368-1019, 800-537-7697 (TDD) Complaint forms are available at

ATTENTION: If you speak following another language, language assistance services, free of charge, are available to you.  We are using Transperfect Language interpretation services, Please call our office for more information.



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