Wishing You and Yours a Safe and Joyful Holiday and a New Year filled with Health and Happiness!
Dr. Robert E. Lane & Your Coastal Carolina Family Practice Team
Starting the midddle of November and going through the middle of January, Coastal Carolina Family Practice has volunteered to be a donation center for the Food Bank of the Albemarle. At a time when there are so many that need a helping hand this holiday season it is our goal to nourish and support our friends and neighbors and the incredible community we have called home since 1987.
In the spirit of honoring those we have lost,
we ask every women and man to take charge of their own health
by performing monthly Breast Self Exams.
Early Detection Saves lives...
For more detailed information as well as instructions on how to perform a Breast Self Exam please visit the link below:
http://www.nationalbreastcancer.org/about-breast-cancer/breast-self-exam.aspx
appointment request details:
(please list provider requesting and problem for which you will be seen)
referral request details:
(please list insurance carrier,
provider requesting and
problem for which you will be
seen)
records request details:
(please list date range of
records requesting as well as
location for records to be sent)
Note:
Before records can be sent a records request form must be obtained, signed by the patient or legal guardian
and returned to us.
prescription request details:
(please list medication requesting
and pharmacy/location you would
like medication called in to.
Please allow 72 hours for your requests to be fulfilled.
Prescription requests do not constitute a fulfillment. Requests will be reviewed and fulfilled at providers discretion.
Prescription requests will not be accommodated for those not seen by the provider wilthin the past year.
PATIENT INFORMATION FORM.pdf
HEALTH HISTORY.pdf
CCFP PRIVACY PRACTICES.pdf
CCFP PAYMENT POLICY.pdf
AUTHORIZATION FOR RELEASE OF INFORMATION.pdf
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Hours:
Monday, Tuesday, Wednesday, Friday
8:00 a.m. to 1:00 p.m.
2:00 p.m. to 5:30 p.m.
Thursday
2:00 p.m. to 7:30 p.m.
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600 South Church Street, Hertford NC 27944
p: 252.426.5711 f: 252.426.1999