Appointment Form

If you are a new patient or need an urgent appointment, please call (919) 781-7500 x option 2

Patient name (required)
Your Email (required)
Daytime Phone
Referred by
Appointment Information

I would like to see the doctor in:

 ASAP  Next week  In two weeks  Next month  In two months  In three months
Gastroenterologist requested:

 First available physician  Dr. Barish  Dr. Ender  Dr. Herschelman  Dr. Kaplan
Type of visit:

 Office consult  Colonoscopy  Upper GI Endoscopy  Other
Time of visit:

 Morning (8:00am - 11:30am)  Afternoon (2:00pm - 4:30pm)
Reason for visit:


Is there anything further you need to tell us about your appointment?