CALL US:     Holly Springs:919-363-8666     West Cary: 919-261-6446     Evening, Weekend & Same day Appointments Available! Sick walk-ins welcome!

tricityfamily: Home
Insured Patients

Most Insurance Plans Accepted.
Our providers care for all ages (pediatrics, teens and adults).


For List of Services, Click Here


For List of Insurances, Click Here


Self-pay Patients

We offer Great Self-pay Rates!
No Tier Hassle, one flat rate for Office Visit (does not include Labs, X-Ray or other services) -$125.00


An Additional Fee of $25.00 will apply on Evening (after 5pm), Weekend or Holiday Appointments.


For Comprehensive List of Self-Pay Services, Click Here

After Hours Contact

For life-threatening emergency, please call 911.
For after-hours emergencies call us at 919-348-0805.


Please restrict all after hour calls to TRUE emergencies. It is not a triage phone line. There will be a $25.00 charge for non-emergency calls. The provider on-call cannot call in prescriptions after hours.


Please leave a complete message with patient’s full name, date of birth, chief complaint and your call back number with area code. If you do not hear back from provider on call within an hour, please call again.


Please Note: If you are experiencing severe chest pain, seizures that won’t stop, shortness of breath or stroke symptoms (for example, numbness or weakness on one side of your body), please call 911 or go to the nearest emergency room.


Same day appointments available!
Sick visit walk-ins are welcome.

Contact Us

Holly Spring Office

107 Hyannis Drive,
Holly Spring, NC 27540


Monday – Friday: 7:30 am to 6:00 pm
Saturday: 9:00 am to 3:00 pm
Sunday: Closed
Phone: 919-363-8666
Fax: 919-363-8668

West Cary Office - **Opening Soon**

1106 Parkside Main Street,
Cary, NC27519
Monday – Friday: 7:30 am to 7:00 pm
Saturday: 8:00 am to 4:00 pm
Sunday: 8:00 am to 12:00 pm
Phone: 919-261-6446
Fax: 919-261-6448

Patient Forms

As your Primary Care Provider (PCP), we take responsibility for providing comprehensive care for your entire family including- acute care, primary care, preventive care, disease management.


The “policies or rules” listed here are essential and necessary to efficiently manage a busy clinic.


Patient-Centered Medical Home

Our patient care uses a team base approach and emphasizes care coordination and communication to provide quality care, help lower medical costs, and achieve an excellent patient care experience.

Patient Resources and Tools

Are you thinking about Tricityfamily Urgent Care Clinic then go to the page and find your questions and clear about it.

Insurances Accepted
  • Aetna


  • Blue Cross Blue Shield

    (Blue Value Accepted; Blue Local- Out of Network)


  • Cigna


  • Coventry


  • Humana


  • Great West


  • Medicare


  • Medcost


  • Private Health Care Systems (PHCS)


  • Tricare


  • United Healthcare


  • Well Path


So we can better serve you, please contact us if your insurance is not listed.   We provide equal access to all of our patients, regardless of their payment source. If you are uninsured, we are happy to educate you on coverage options by request. Additional information is available at
Make an Appointment

Helpful Websites

Centers for Disease Control and Prevention –


HealthyWomen –


Healthy Men –


American Academy of Pediatrics –

This comprehensive site from the American Academy of Pediatrics for parenting kids from prenatal until adulthood covers diseases, staying healthy, mental and social concerns, school problems, and safety. Parents of prospective and new teen drivers will appreciate the site’s Teen Driving Agreement.


SuperKids Nutrition –

SuperKids Nutrition was founded by a registered dietician to promote good nutrition; it offers health information for parents, kids and health educators through a blog, activities and links to even more online resources. For parents, there are tips and toolkits to promote healthy living in the family. For kids, an animated SuperKids Crew teaches about nutrition, and there are fun activities to print and complete.


Teen Health –

This MedlinePlus page was created for teens and parents. There are links to information on nutrition, emotions, body image, alcohol, drugs, sexuality, and other topics of interest to adolescents.


Academy of Nutrition and Dietetics– –
The Academy of Nutrition and Dietetics is the best source of accurate, credible and timely food and nutrition information for the public. The website includes information on nutrition throughout the lifecycle, advice for achieving and maintaining a healthy weight, information on prevention and management of diseases, and a searchable database of registered dietitian nutritionists.
Weight loss website –

It’s an online dieting community, but also places a huge emphasis on adopting a healthy lifestyle for long-term weight maintenance. The site is packed with useful tools and resources for you to explore. The fitness, recipe, and cooking videos are all easy to follow, and the motivational quizzes and success stories help to keep you on target with your goals.


Weight loss website – lets you log your food intake and workouts, but also offers great tips for beginner exercisers and expert dieting advice. In addition, there’s a mobile-friendly version of the site so you can stay on top of recording what you’ve eaten even on the go.


Weight loss website – Logs has easy-to-understand charts for tracking your progress and also shows you a count of how many calories you have “left” to consume for the day to keep you on track with your goals.


The AGS Foundation for Health in Aging –

Health In Aging provides up-to-date information on healthcare and aging for older adults, caregivers, and providers. The site provides information and tip sheets on common health topics and resources to help find and communicate with geriatrics healthcare providers. Information is easy to understand and available in English only. The site was created by the American Geriatrics Society’s Health in Aging Foundation and is overseen by elder care experts.


Benefits Checkup –

Benefits Checkup is a service aimed at helping older adults finds state, federal and private benefits programs to help pay for prescriptions, healthcare, food, and other services. Older adults can answer a series of questions and receive information and applications for programs for which they may be eligible. The site also contains links to forms and resources for local and national programs. Information is in English, although many forms are available in multiple languages. The site is a service of National Council on Aging, a non-profit and advocacy organization for older adults.


Eldercare Locator –

Eldercare Locator, service of the U. S. Administration on Aging, connects older adults and caregivers to services for seniors. The online search function provides lists of trusted local resources, organizations, and services. There are also factsheets and links to online information about medicine and health, advanced care planning, and other issues. A hotline and online chat connects to Eldercare information specialists who can answer detailed questions. Online information is available in English; information in other languages is available by phone.


The Family Caregiver Alliance –

Family Caregiver Alliance (FCA) provides information, services, and support for caregivers and families of persons with chronic, disabling health conditions. The website offers fact sheets on conditions such as dementia, Parkinson disease, and stroke as well as statistics, public policy information, and reports. It includes caregiver advice and tips and hosts online discussion groups. Information is available in English, Spanish, Chinese, Korean, and Vietnamese. The FCA is a nonprofit, community-based organization. –

The official U.S. government website provides a wealth of information on Medicare health plans, drug coverage, and costs. It also offers tools to find whether a test, item, or service is covered and for finding doctors, providers, hospitals, plan, and suppliers.  Online forms are provided for applying to the program, replacing a Medicare card, or changing an address. Information is available in English and in Spanish.


Medicine Safety: A Toolkit for Families  –
This excellent resource encompasses safe use, storage, and disposal of drugs; questions for your doctor and pharmacist; drug interactions and side effects; plus drugs of special concern for seniors and links to other resources. Medicine Safety is produced by the Center for Improving Medication Management (CIMM) and the National Council on Patient Information and Education (NCPIE).


Needy Meds –

Needy Meds is an information clearinghouse of the various assistance programs available from pharmaceutical manufacturers for patients who cannot afford medications. It also has information about government assistance programs and coupons.


RxList-The Internet Drug Index –
This site has information about prescription and non-prescription drugs, herbs, and supplements, and is searchable by generic and brand name. It also has a useful pill identifier tool, information and slide shows about diseases and health topics, and a medical dictionary.


National Center for Complementary and Integrative Health (NCCIH) –
The National Institutes of Health established NCCIH to study the safety and efficacy of complementary and alternative therapies. The website provides evidence-based information about these therapies, advice about choosing practitioners, and information about herbs and supplements.


Patient Decision Aids:


Diabetes Decision aid –

Immigration Physical




Tricity Family Medicine & Urgent Care Clinic is pleased to offer immigration physical services.  Dr. Patel is a licensed US Civil Surgeon who has been authorized by the Bureau of Citizenship and Immigration Services to conduct Immigration Physicals for the Department of Homeland Security.  Individuals applying for citizenship or seeking Permanent Residency or a Green Card are required to obtain an immigration physical performed by a designated Civil Surgeon prior to approval of their application.  The exam results will be recorded on Form I-693 for the applicant to return to the USCIS (INS).  The exam process generally takes 1-3 days, depending on whether a tuberculosis test (PPD) is needed.  Call Tricity Family Medicine & Urgent Care today to schedule an appointment:  919-363-8666.


Services & Fees

  1. Complete Immigration Physical Examination

The cost of the complete Immigration Physical Examination can vary on case to case basis as it may include required immunization and blood work along with Physical Examination:



  1. Physical Exam Only: If you only require a physical exam the cost is $250.00


Additional services that may be required, such as required vaccinations, additional certified copies of exams, blood tests for immunization status and follow-up chest x-ray for TB testing are not included in the price of the exam.  If vaccinations are required, they may be obtained here at the time of the exam, at your primary care physician or we can arrange for them at a local immunization clinic at an extra fee that will be paid to the clinic.  We do have all the required adult vaccinations and have many, but not all, of the required pediatric immunizations at Tricity Family Medicine & Urgent Care.  Please call us for any questions or for pricing.  Any questions as to what specific vaccination is required will be answered by the civil surgeon during the exam.


3.What To Bring



After The Exam


Once the immigration medical examination is completed and all immunizations and/or lab tests have been performed, we will provide you with a certified form I-693 in a sealed envelope to present to the Department of Homeland Security and U.S. Citizen and Immigration Services.  DO NOT OPEN THE SEALED ENVELOPE.  Turn in the envelope with your immigration application.  A copy of your blood tests results and exam will be provided for you to keep after results have been discussed with the doctor.  The medical examination will only be valid up to a year after the immigration exam date.

Typically, you will be notified of the results of your lab work (and chest x-ray, if done) within 7-10 days.  If you have a health condition requires that medical follow-up, clearance will not be granted until follow-up is completed.  You will be responsible for the cost of any additional medical examinations or treatments required to fulfill the federal health requirements established by USCIS.

While Tricity Family Medicine & Urgent Care has bilingual and multilingual staff (English, Hindi & Gujarati) available, it is your responsibility to bring a translator and have all your necessary immunization and medical records translated into English by an official translator to expedite your exam process.

All remaining expenses must be paid at the time of your exam. We accept cash Visa and MasterCard.

Visit the Official US Citizen & Immigration Services website for more information

Useful Documents:

Patient Forms




Recommended Medical Care


Preventive Care.
Good health begins with good preventive care. We recommend the following preventive care for your family.


Women age of 20 – 35
Annual pap smear, annual exam/physical



Women age 35 -40
Pap smear, annual exam/physical and mammogram



Women over age 40
Annual pap smear, annual exam/physical and mammogram

Men up to age 40
Physical once every 3-5 years




Men age 40-50
Physical every two years




Men over age 50
Annual Physical



All adults over age 50
Flexible sigmoidoscopy once every five years
Stool blood screen for colon cancer annually



All vaccinations as recommended by American Academy of Family Practice

Preparing for your visit


Please carefully read and understand your health care insurance policy’s coverage. Because insurance policies vary, we do not always know what your policy will pay.

Some policies require co-payments, which will be collected when you check in for your appointment/service. Some policies require co-insurance, which will be billed to you once your insurance carrier has advised us of their payment and your responsibility.

Some items or services are not covered by insurance. For information about how your plan will process charges for a service provided, please contact your insurance company directly. The Insurance Plan customer service phone number is found on your insurance card.

Allergy Immunotherapy


The best method for controlling allergies is avoidance. Specific control of the offending environment(s) is essential in reducing or interrupting exposure. When sufficient relief cannot be achieved with avoidance techniques and medications, immunotherapy injections can be administered with the goal of reducing your sensitivities. Immunotherapy is effective for those allergic to: pollens, dust, mold spores, fungi, and some animal dander.

These injections are usually administered weekly for the first year and then a few weeks apart, depending on your symptoms. After a three to five year period, your allergy injections will be gradually tapered off. Some patients find it necessary to continue with a maintenance dose every four to six weeks for several years.

To reduce your sensitivities, the strength of your dose is gradually increased until you reach the maximum symptom-relieving dose. Occasionally, you may have a local reaction at the injection site, such as redness and swelling.

Interruptions in your progress can occur if you have an infection, are under stress, or have other medical problems which are not controlled. Excessive exposure to pollens, dust, molds or irritants in your environment (e.g. cigarette smoke, chemicals, metals, paint fumes, perfumes) may cause an increase in your symptoms. It may be necessary to adjust your allergy dose and to take allergy medication. Immunotherapy is not a cure for allergies and cannot provide 100% protection. You must take an active role in adjusting your environment to achieve the desired effect.


Allergy Test Insurance Verification Codes and Questions to Ask

We strongly recommend you to verify coverage of the following services/supplies by your insurance company prior to beginning allergy testing. The following codes are provided to help you when contacting your insurance company :



Allergy Skin Prick Testing for Foods and Initial Step of MQT test
95004 (per allergen)


Allergy Immunotherapy Treatment Vials
95165 (single/multiple antigens)

Allergy Injections
95115 (single injection)
95117 (two or more injections)

Questions to ask your Insurer(s):
• Are there any waiting periods or pre-existing clauses?
• Do I have any deductibles that apply in this case?
• Do I have any co-payments that apply in this case?
• Do I need a referral from my primary care physician (PCP)?
• What is the effective date when coverage/noncoverage begins?
• What percentage of my testing is covered?
• Do I have coverage for allergy immunotherapy serum and injections?

Do I need prior-authorization or pre-approval from insurance for test?



Review all of the above codes with them

Frequently Asked Questions


What Is An Allergy Test?
An allergy skin test, also called a scratch test, is used to identify the substances that are causing your allergy symptoms. It is performed by applying an extract of allergen to your skin, scratching or pricking the skin to allow exposure, and then evaluating the skin’s reaction.



What Happens During The Test?
First a doctor or nurse will examine the skin on your forearm and clean it with alcohol.

Areas on your skin are then marked with a pen to identify each allergen that will be tested. A drop of extract for each potential allergen—such as pollen and animal danderis placed on the corresponding mark.

A small disposable pricking device is then used so the extract can enter into the outer layer of the skin, called the epidermis. The skin prick is not a shot and does not cause bleeding.

If there are allergic antibodies in your system, your skin will become irritated and may itch, much like a mosquito bite. This reaction means you are allergic to that substance.



How Long Does The Test Last?
It takes approximately one hour for the entire appointment. The allergen placement takes 5 to 10 minutes. Then you will have to wait about 15 minutes to see how your skin reacts.



How Can I Prepare For The Test?
Inform the healthcare provider who is going to perform the skin test about all medicines you are taking, including over-the-counter medications.
Since over-the-counter antihistamines stop allergic reactions, you should not take them for five days before the test. Talk to your doctor about discontinuing your prescription medications prior to the test.

Your doctor will give you a list of medicines to avoid before the test, since there are other drugs that can interfere with the results. Since you may not be able to discontinue certain medicines, please consult your doctor or nurse before making any changes.



Will It Hurt?
The testing may be mildly irritating, but most people say it doesn’t hurt too much.



Is The Test Safe?
Although small amounts of allergens are introduced into your system, a skin test is completely safe when performed properly.

Metabolic Testing



One thing holds true in weight management and that is Energy Balance. Simply put, if you burn more energy than your body absorbs, you will lose weight and vice versa. When food is absorbed into your body it must either be burned as energy or stored as fat.


Achieving your ideal weight begins with finding the right balance of exercise and caloric intake. But each person’s balance is unique. Your Resting Metabolic Rate (RMR) can put you on the path to healthy living. Everyone has a unique number – find out yours.


• Measures the number of calories your body burns at rest.
• Is determined by measuring the amount of oxygen you consume while resting.
• Tells you how many calories you would burn in a day – if you rested the entire day.
• Can help you determine how many calories you should be eating each day to maintain, gain or lose weight.


We use the latest ReeVue Indirect Calorimetry to measure Resting Metabolic Rate (RMR). After the test, we will calculate your ideal caloric intake based on your activity level and individual weight goals.


Contact us today at 919-363-8666 to schedule your Resting Metabolic Rate analysis.


The Resting Metabolic Rate Test is covered by health insurance. Your co-pay and deductible requirements will apply. Our staff will be glad to verify your coverage for the test.


For self-pay patients, the Resting Metabolic Test is $60.00.


What to Expect – It is as easy as 1-2-3!


REEVUE measures resting metabolic rate. It is important that you be able to reach a resting state during your test. You should avoid activities such as exercise or stressful situations that will prevent you from relaxing for at least four hours prior to your test. Digesting a large meal, as well as taking stimulants, such as caffeine, can raise your metabolic rate and should also be avoided prior to your test.


You will be able to sit or lie comfortably while being tested. The technician will then place a nose clip on your nose and you will be given a disposable mouthpiece to breathe through. This mouthpiece is connected to the REEVUE by a hose that will measure how much oxygen you are breathing out. It is very important that you breathe only through the mouthpiece so this measurement will be correct. Both the mouthpiece and the tubing are sterile items that will be used only for you.


Finally, you just sit back and breathe. The REEVUE will indicate when it has calculated your metabolic rate. This takes about 10 minutes. The more relaxed and even your breathing, the quicker it will be able to determine your resting metabolic rate.


IT IS JUST THAT EASY!!In just 10 minutes, we will know precisely how many calories your body is burning. Your diet can then be tailored to maintain the right caloric balance.