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Patient Information


Please call the office during our normal business hours to schedule your appointment. If you need an immediate appointment and you are calling during normal business hours, we will try to accommodate your needs.  

Please help us to direct our resources to patients who need our services by calling 24 hours in advance of your appointment to cancel or reschedule. If you fail to show for an appointment more than one time over a six-month period, your patient account will be assessed a $25 charge. If you have another no-show you could receive a dismissal letter from the practice. Please make every effort to make your appointment or call us at least 24 hours in advance to cancel or reschedule your appointment with us.

Triage Nurse

We have a Triage Nurse available during normal business hours to answer questions related to your care. This staff member is designated to assist patients with questions regarding their medications, assess the needs of the patients and coordinate lab and other tests as needed.

Prescription Refills

To expedite the refilling of your prescription, contact your pharmacy for a refill. Even if your prescription has expired, your pharmacy may obtain a new prescription by calling our office. Refill requests can take up to 48-hours to complete. Medication refills will not be called in after normal business hours. When requesting a medication refill, please have the following information on hand:


  • Patient Name and Date of Birth

  • Full name of the medication

  • Medication strength and dosage

  • Pharmacy Name and Phone Number

Patient Forms

Patient Forms may be faxed to 336-625-9941 or can be brought in at your next visit.

Adult Patient History (English)
Adult Patient History (Spanish)

Medical History
Acknowledgement of Receipt of Privacy Notice (English)

Acknowledgement of Receipt of Privacy Notice (Spanish)
Notice of Privacy Practices (English)
Notice of Privacy Practices (Spanish)

Patient Rights and Responsibilities (English)

Patient Rights and Responsibilities (Spanish)

Insurance Participation

Accepted Insurance Plans 2023-2024

  • Aetna

  • AmeriHealth Caritas NEXT

  • Ambetter Exchange (Commercial Products ONLY)

  • BCBS

  • BCBS State Health Plan

  • BCBS State Health Plan Clear Pricing Project (CPP)

  • Blue Local Wake Forest/Randolph

  • Cigna/Great West

  • Cigna—RPN for Physical Therapy ONLY

  • Humana Military/TriCare East

  • MedCost

  • Medicaid

  • Managed Medicaid

    • AmeriHealth Caritas

    • Carolina Complete Health

    • Healthy Blue

    • UHC Community Plan

    • WellCare

  • Medicare

  • Multiplan

  • NC Health Choice

  • Railroad Medicare

  • VA CCN thru UHC/Optum (replaces TriWest)

  • United Health Care

    • All Savers Health Plan

    • Heritage UHC of River Valley

    • UHC Choice and Choice Plus

    • UHC Choice Advance & Advance Choice Plus

    • UHC Edge

    • UHC Navigate

    • UHC NexusACO

    • UHC Options PPO Plans

    • UHC Tiered Benefits Plan

    • UMR

    • UHC Compass HMO (Multiple Exchange Plans)

  • Workers Comp Carriers

    • Berkley Comp Care/Med Advantage

    • Clear Comp (PT only)                

    • Corvel/CorCare/Care IQ

    • Employer's Choice Network

    • Key Scripts

    • MedRisk

    • One Call Care (Formally Align)

    • Paradigm Specialty Networks

    • Reli (formerly Workwell)

    • Select Medical/RPN

    • SP Net Clinical Solutions

    • Sedgwick Provider Network (SPN)

    • US Department of Labor

Medicare Advantage Plans 2023-2024

  • AARP Medicare Complete Plan I, II & III

  • AARP Medicare Complete Choice (PPO)

  • AARP Medicare Complete (HMO)

  • AARP Medicare Complete Essential (HMO)

  • Advantra Gold Advantage

  • Aetna Medicare Premier Plan

  • Blue Medicare HMO & PPO

  • Cigna Medicare

  • Coventry Health Care

  • Devoted Health

  • Erickson Advantage Plans (UHC Product)

  • Health Team Advantage

  • Healthy Blue + Medicare

  • Humana Medicare

  • Liberty Medicare Advantage

  • Troy Medicare Advantage

  • United Health Care Dual Complete Plans

  • United Health Care Group Medicare Advantage Plans

  • WellCare Health Plans

HMO — Health Maintenance Organization have a defined network of contracted local physicians & hospitals to provide member care.

PPO — Preferred Provider Organization offer members access to a network of contracted physicians and hospitals, but also allow them the flexibility to seek covered services from outside of the contracted network, usually at a higher cost.

Insurance Participation is subject to change. If your insurance company is not listed above, please contact Patient Accounts at 336-625-6072 to verify if the coverage is accepted.


Please bring your insurance card to every visit so we can verify we have the correct information to properly file your visit to the insurance company. Let the receptionist know if your insurance, address, telephone number, emergency contact or employer has changed.

Useful Links

At Randolph Health Gastroenterology, we care about you and your health and want to provide you with important information regarding your health care. Below are links to health care information that may be useful and important to you depending on your needs and the needs of your family.

American Gastroenterological Association

American Liver Foundation

American Cancer Society

National Digestive Diseases

Crohn’s & Colitis Foundation of America

Financial Information and Questions Concerning Your Bill

You will be responsible for any copayments and/or deductible amounts at the time services are rendered. We accept cash, check, money orders, Discover, Visa and Mastercard.

Our staff is pleased to discuss our billing practices with you; however, it may be difficult to give you precise total charges in advance of providing services. If at any time you have questions concerning charges or payment arrangement, please contact our Patient Accounts Department at 336-625-6072.

Click Here For Our Financial Assistance Policy

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