Interior Banner

New Patients

To help us better understand your present condition, we ask that you complete the Patient Information Form as well as the Insurance Coverage Information Form, and bring it to your first appointment.  We also ask that you read our Notice of Privacy Practices and complete the Acknowledgement Form. These forms may have already been sent to you.  If not, you may print a copy of the forms by clicking on the links below. Completing these forms prior to your appointment will help speed up the registration process when you come to our office for your first visit.  For your first appointment you will also need to bring your insurance identification card.  Any previous medical records are also helpful.

Each time you visit our office, you will be asked to check in with the receptionist. Please always notify the receptionist of any change of name or address, telephone number, employment or insurance information.

It is the policy of Zarzar Psychiatric Associates, PLLC that payment is due at the time services are rendered. For your convenience, our office accepts cash, credit cards and personal checks.

  

Patient Information Form

  

Notice of Privacy Practices

  

Notice of Privacy Practices Acknowledgement Form

  

Insurance Coverage Information Form

Because it is our policy that payment is due at the time of service, you are required to pay, at minimum, any deductibles and/or coinsurances at the time of service.  If we are not contracted with your insurance company, you will be expected to pay in full.

Because your insurance company determines the amount of coverage you will receive, it is your responsibility to be aware of your benefits prior to each office visit. If you are unsure of your coverage, you need to contact your insurance company directly.

Please complete the Insurance Coverage Information Form prior to your first visit and remember to notify us at each visit of any changes to your policy.

A copy of your insurance card is necessary for us to file your claims.

Contact Information

4301 Lake Boone Trail, Suite 210
Raleigh, NC  27607

Main Office:  919.278.2041
Clinical Research:  919.719.9393
Facsimile:  919.278.2042

Automated Voicemail

If your call is answered by the Automated Voicemail please listen carefully to the list of options from which to choose.  You may enter your party's extension, and your call will be forwarded right away.  Below is a list of our current extensions.

  Emergency Calls Press 1  
  Doctor or Hospital Calls Press 2  
  Directions/Address/Fax Press 3  
  Scheduling Press 4  
  Prescription Refills Press 5  
  Clinical Research Program Press 6  
  Billing and Insurance Press 7  
  Medical Records Press 8  

 

  Dr. Michael Zarzar 111  
  Dr. Nicholas Zarzar 120  
  Dr. David Zarzar 119  
  Ms. Mary Spencer 112  
  Ms. Alice Colbert 117  
  Ms. Rhonda Qualls 393