Make an Appointment

All appointments in our primary care clinic must be scheduled.

If you are an established patient at Alliance and want to make an appointment, please call 919-250-3320 and follow the prompts.  


Annual Renewal

All established Alliance patients are required to renew their eligibility annually.  

Step 1:  Download and complete a Patient Renewal Packet:

Note: Your Patient Renewal Packet must be completed in full, including:

  • Patient Information Form
  • Health History Form
  • Signed Patient Responsibility and Accountability Contract
  • Signed Medical Release Form 
  • Signed Limited Power of Attorney

Step 2: Gather these additional documents:

  • Copy of a current Government issued photo ID (Driver's license, Green Card, Visa, etc.)

  • Copy of proof of Wake County residency (utility bill, telephone bill, or property tax bill)

  • Proof of income source A (one of below)
  • Proof of income B (one of below)
    • Option 1: One month of current consecutive pay stubs from any household member
    • Option 2: If a patient does not receive pay stubs, a notarized letter from their employer with contract information stating weekly or monthly income
    • Option 3: If income is direct deposited, a bank statement showing a month's wort of direct deposit
    • Option 4: If patient is self-employed, six (6) months worth of bank statements showing deposits which may be averaged to compute income

Step 3:  Patient Responsibility and Accountability

  • All Alliance patients are required to sign a Patient Responsibility & Accountability Contract.   English PDF    Spanish PDF
  • Review Patient Rights & Responsibilities document:  English PDF
  • Review New Patient Letter:  English PDF