Patient Billing

You are a member as soon as we accept your online registration and your billing will begin as soon as you are accepted.  At that time you will be charged for the current month (or 1/2 month if it is after the 15th of the month) and you will be charged the one-time enrollment fee.  If you want to pay this initial amount by check please contact our office before you register.  

ex.  Payment schedule for a 50 year old who joins on the 7th of the month -   

Current month:  $75 enrollment + $75 for the current month

Each month after that:  $75 on the 5th

Payment schedule for a 50 year old who joins on the 25th of the month - 

Current month:  $75 enrollment + $37 for the current month

Each month after that:  $75 on the 5th

Starting the month after your enrollment you will be charged on the 5th of each month.  You can pay for your membership monthly or annually.  

We prefer for members to pay with a bank draft or annually with a check in order to help us keep our expenses and fees low, but you can choose which is better for you. 

We donate $10 every year to either the Alexander YMCA or Neighbor to Neighbor Ministry for each member who pays by bank draft.  

Patient Inquiry Form

Transfer Records

After you complete the enrollment, please complete the transfer of records form and either give it to your current doctor's office or send it to us and we will send it for you.

We can see you before we receive your records, but we prefer to have new patient physicals scheduled after we receive your prior records.  

New Patient Inquiries

Dr. Fischer and Dr. Lapinskes both currently have a waiting list for new patients that may be six months or longer.  If you would like to be added to the wait list, please complete the form below.  

There are other direct primary care practices in the Raleigh area who are accepting new patients if you are interested in this model of care and need care sooner than we may be able to offer here at Fischer Clinic.  

Other area direct primary care physicians who are accepting patients:

Reed Family Medicine
8341 Bandford Way, #103
Raleigh, NC 27615

Dr. Melissa Reed is a Board Certified Family Medicine physician near the intersection of Creedmoor and Strickland Road in Raleigh.  She is accepting new patients.  Dr. Reed previously worked at Duke Primary Care Blue Ridge.  

Hometown Direct Primary Care
332 N Brightleaf Blvd, Suite C

Smithfield, NC 27577
(919) 901-7344


Dr. Crystal Rambeau has opened a direct primary care practice in Smithfield.  Dr. Rambeau previously worked at Benson Area Medical Center with Dr. Lapinskes.