Please download and print the contents of this page after scheduling your first appointment with Dr. Bryce Kaye. Please be sure to complete all forms, including signing the HIPAA form on the back page.  Then scan all your completed pages together into ONE pdf file (preferably not separate files).  After you have created your pdf file, then come back to this same page and attach your file to the bottom of the following encrypted file transfer mechanism. DO NOT USE REGULAR NON-SECURE EMAIL TO TRANSFER YOUR FILES.  As an alternative, you may snail-mail your hard copies to: .

Bryce Kaye

875 Walnut Street Suite 275

Cary, NC 27511

Registration

Service Agreement

BWK HIPAA Form

Please print 2 copies of the following and each partner will fill out their own copy.

Safety/Symptoms

Attach your pdf file to the bottom of the following and include Dr. Kaye’s name in the comments section to assist our routing.


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