All new patients must complete the following:
Please Read our Notice Of Privacy Practices and complete the Acknowledgement Form
Please arrive 30 mins early to complete paperwork and/or tablet questionnaire. Patients have the option to complete the questionnaire ahead of time through the patient portal.
We require a 24 hour advance notice of cancellation. You will be responsible for paying for the visit if appointments are canceled with less than 24 hours notice prior to your scheduled appointment, or if appointments are not kept. Exceptions are made for late cancellations/missed appointments due to emergencies. You will need to discuss exceptions with your provider. Please note that insurance companies do not cover the costs of missed appointments.
Medicare (Psychiatrists Do Not Accept Assignment)
Alice Colbert & Mary Spencer
Medicare (Accept Assignment)
Blue Cross Blue Shield (Selected plans)*
*Please contact your insurance prior to your visit to verify that your visits at our office will be covered under your plan. If we are not in network, please ask your insurance carrier about your out-of-network benefits.
*UNC Employees Only
Once you have scheduled your appointment you will receive an email with your log in information to access the patient portal. From there you will be able to:
If your doctor has already sent in a referral to our practice please contact us to schedule an appointment
If you are a referring provider sending in a new referral, please fax it to 919-278-2042 and our staff will contact the patient.
Contact us if you have any questions
Notice of Privacy Practices (pdf)Download
Notice of Privacy Practices Acknowledgement Form (pdf)Download
Authorization Release Form to ZPA (pdf)Download
Patient Satisfaction Survey (pdf)Download
Authorization Release Form From ZPA (pdf)Download
ZPA, PLLC Credit Card on File Form (pdf)Download
ZPA, PLLC Credit Card on File Form-for All Visits (pdf)Download