Tell us your history

salad-162637-20131013Our services are tailored to your specific needs. Before the first appointment, we ask that you complete and return

  • Initial History and Nutrition Assessment covering your health history and current medial issues so Dr. Hughes will be prepared for your visit.
  • New Patient Information Form with information about appointment scheduling, prices, and payment policies so you will understand her office policies.

Microsoft Word version: Initial History and Nutrition Assessment

  • Download the form to your computer and fill it out.
  • Save the file and print a copy.
  • Email the completed form to barbara-ann@bahughes.com, or
    send the printed copy via FAX: 919-783-8299, or US Mail: 4208 Galax Drive, Raleigh, NC 27612-3714
    If you e-mail the form, you’ll be asked to sign it at the first appointment.
  • Please print and sign the New Patient Information Form. If you e-mail your history, you may bring the signed form to your first appointment.

Printable version: Initial History and Nutrition Assessment (includes New Patient Information Form)

  • Print the form and type or print clearly.
  • Sign the included New Patient Information Form.
  • Return by FAX: 919-783-8299 or US Mail: 4208 Galax Drive, Raleigh, NC 27612-3714