Patient Registration Submission Confirmation - Compassion Health Care

Thank You! Your form has been submitted.

Thank you for submitting your patient registration application. After reviewing your application, we will be in touch with the contact info you have provided. In the meantime, if you have any questions or concerns, please feel free to reach out to us.

Caswell Family Medical Center, Yanceyville, NC: (336) 694-9331

James Austin Health Center, Eden, NC: (336) 864-2795

Find out more about our Yanceyville, NC location

Your patient-centered medical home in Caswell County, North Carolina.

Find out more about our Eden, NC location

Primary care and behavioral health for the whole family in Rockingham County, North Carolina.

Telehealth Services

Healthcare Beyond the Medical Center

We now have the capacity to provide healthcare services to established patients through video, sometimes referred to as telemedicine. For our patients that don’t have access to video, we can provide phone/voice visits. If our medical staff determines a patient cannot be safely treated using Telehealth, he/she will be brought into the office.

Telehealth Services

Give Today

$ Donation Amount:

Give What You Can

Select Payment Method

Offline Donation
PayPal

Personal Info

First Name *

Last Name

Is this donation on behalf of a company?

No
Yes

Company Name

Email Address *

Make this an anonymous donation.

Comment

Billing Details

Country *

Address 1 *

Address 2

City *

State *

Zip / Postal Code *

Terms

Acceptance of any contribution, gift or grant is at the discretion of the Caswell Family Medical Center. The Caswell Family Medical Center will not accept any gift unless it can be used or expended consistently with the purpose and mission of the Caswell Family Medical Center.

No irrevocable gift, whether outright or life-income in character, will be accepted if under any reasonable set of circumstances the gift would jeopardize the donor’s financial security.

The Caswell Family Medical Center will refrain from providing advice about the tax or other treatment of gifts and will encourage donors to seek guidance from their own professional advisers to assist them in the process of making their donation.

The Caswell Family Medical Center will accept donations of cash or publicly traded securities. Gifts of in-kind services will be accepted at the discretion of the Caswell Family Medical Center.

Certain other gifts, real property, personal property, in-kind gifts, non-liquid securities, and contributions whose sources are not transparent or whose use is restricted in some manner, must be reviewed prior to acceptance due to the special obligations raised or liabilities they may pose for Caswell Family Medical Center.

The Caswell Family Medical Center will provide acknowledgments to donors meeting tax requirements for property received by the charity as a gift. However, except for gifts of cash and publicly traded securities, no value shall be ascribed to any receipt or other form of substantiation of a gift received by Caswell Family Medical Center.

The Caswell Family Medical Center will respect the intent of the donor relating to gifts for restricted purposes and those relating to the desire to remain anonymous. With respect to anonymous gifts, the Caswell Family Medical Center will restrict information about the donor to only those staff members with a need to know.

The Caswell Family Medical Center will not compensate, whether through commissions, finders' fees, or other means, any third party for directing a gift or a donor to the Caswell Family Medical Center.

Show Terms

Agree to Terms?

Donation Total: $1.00