(919) 401-6212 tbaze@triangleneuropsych.com
Triangle Neuropsychiatry, PLLC
  • Contact Us
    • Mark C. Chandler, M.D.
    • Hazel Shepherd, CPMHS, CPNP
    • Tiffany Baze
    • Dyztanee Evans-Smith
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Adult Packet

01 Adult Face SheetDownload
02 Adult Consent to TreatDownload
03 Office PoliciesDownload
04 Pt Rights and ResponsibilitiesDownload
05 Medication RightsDownload
06 Privacy PolicyDownload
07 Cancellation PolicyDownload
08 Signature PageDownload
09 Release of Information FormDownload

About Us

  • Mark C. Chandler, M.D.
  • Hazel Shepherd, CPMHS, CPNP
  • Office Staff

Office Location

3713 University Dr.,
Ste B
Durham, NC 27707
fax: (919) 401-4170

Downloadable Forms

  • Adult Packet
  • Child Packet
  • Group Home Resident Packet

Hours of Operation

Mo. 1:00 p.m.–7 p.m.
Tu. 8:30 a.m.–12 p.m., 1–4:30 p.m.
We. 8:30 a.m.–12 p.m., 1–4:30 p.m.
Th. 8:30 a.m.–12 p.m., 1–4:30 p.m.
Fr. 8:30 a.m.–12 p.m., 1–2 p.m.
  • Medication Safety
  • Clinical Research Information
  • Billing & Insurance
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