Primary Care Partners at Ligon Mill
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Patient Information

It is our goal to make your first visit as convenient and comfortable as possible. To help us achieve this goal, please arrive at least 15 minutes before your scheduled appointment. This gives you time to provide us with some necessary information. We will need your current insurance card, a set of completed new patient forms, and a list of current prescriptions, including over-the-counter medications.

When you are scheduled for a routine physical or annual wellness visit to check your overall health your healthcare provider may record your height and weight and take your vital signs. You may also talk with your healthcare provider about your medical history.  You can talk about changes in your health and your healthcare provider may talk about any health risks you may have. Making a personal health plan with your healthcare provider is important to staying healthy.

Many insurance plans pay for some wellness care, but they may not cover all you might need. We want to help you understand the different wellness services so you may decide what you would like to focus on at your appointment.

Whether you have Medicare, a Medicare Managed Care plan or commercial insurance you may owe money out of pocket if:

  • You are sick and we talk about your sickness (e.g., infections, joint problems or abdominal pain) and plan how to make you better. You will be charged a copay and applicable deductible.
  • We talk about your chronic illness (e.g. diabetes, high blood pressure, or high cholesterol) and/or prescribe medication for your chronic illness. This is not covered as part of your annual physical or wellness exam.

Medicare does not pay for routine preventative physical examinations and costs will be applied directly to your deductible or coinsurance.

Commercial Insurance plans vary in coverage for routine preventative physical examinations and may be subject to cost-sharing requirements.

Talk with your healthcare provider about your health concerns.  This is an important part of your visit.  If your healthcare provider treats you for any condition and you are not sure it is covered under your planned visit, please be sure to ask. You are welcome to schedule an appointment another day.

Thank you for allowing us to take care of your health care needs. Wellness visits are an important part of staying healthy. We hope that your wellness visit will help you make a personal health care plan with your healthcare provider.

Patient Forms

Please print and fill out the following forms to bring to your first office visit.
The patient packet contains all forms needed.

New Patient Packet (contains all necessary forms) PDF

Personal Data Form PDF

Patient Intake Form PDF

Outpatient Information/Consent to Treat PDF

Medicare Wellness Exam PDF

Acknowledgement of Receipt of Notice of Privacy Practices PDF

Adult Preventative Health Guide PDF

Novant Health: Privacy Statement PDF

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