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For Individuals

Fill out the form below and we’ll contact you about becoming an Unorthodoc patient.

Patient Interest Form

Because we give generous time and attention to our patients, we intermittently have a wait list. If you are interested in becoming a patient, fill out the short form below. We will contact you with current appointment availability. Reading the FAQ section on our website provides answers to common questions. This is a simple information form that comes to us through standard email. Therefore, THIS FORM IS NOT HIPAA-COMPLIANT. Be cautious about what you share. Call 919-914-9611 and leave a confidential voicemail if you need to provide more sensitive information.
Name(Required)
Preferred Contact Method(Required)
Are you considering an individual membership or a family membership?(Required)
Do you have a physician preference?(Required)
Do you have a clinic location preference?(Required)
How did you hear about Unorthodoc?
Check all that apply
Please note

Because we give generous time and attention to our patients, we intermittently have a wait list. If you are interested in becoming a patient, fill out the short form on this page. We will contact you with current appointment availability.

Reading the FAQ page on our website provides answers to common questions. This is a simple information form that comes to us through standard email. Therefore, THIS FORM IS NOT HIPAA-COMPLIANT. Be cautious about what you share. Call 919-914-9611 and leave a confidential voicemail if you need to provide more sensitive information.

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Email

hello@unorthodoc.sprucecare.com

Phone

919-914-9611

Fax

919-999-4994

Carrboro

127-A Fidelity St
Carrboro, NC 27510

Hours

Please contact us for availability.

Durham

2609 N. Duke St., Ste. 101
Durham, NC 27704

Hours

Please contact us for availability.