Raleigh Neurology Associates

This tool has been put in place to allow the secure uploading of large and potentially sensitive/confidential files. After the upload has been completed, the files will be encrypted and submitted to the relevant party.

Note: This tool is not for provider-patient communications. If you are an established patient and need to share PHI (protection health information) with our providers, please use our Patient Portal to ensure your privacy.

Patient Details

Check here if this communication is regarding an established or future patient

Patient Name

Date of Birth

Your Details

Enter your name *

Enter your email address *

Recipient Details

Please select to whom you would like to send this secure message. *

Secure Message

Please provide any additional information you'd like to submit with your files

Upload supporting files

Use the uploader to submit additional files.

File Upload

JavaScript Required!