Port City Orthopaedics, PLLC

Derrick G. Hickey, MD

Fellow of the American Academy of Orthopaedic Surgeons

Forms & Payment

Accepts new patients

Medicare	Medicaid	Workers' compensation	Other

Medical insurance plans and payment options

Blue Cross Blue Shield of NC, Cigna, Tricare, United Healthcare, Medcost, ProNet and others. Please contact your insurance carrier to verify your coverage prior to your appointment.

We accept most major insurances, check, debit, Visa, MasterCard, American Express, or payment plan through CareCredit. If you are a patient without health insurance we encourage you to use the CareCredit set of payment plans that we offer. Visit http://www.carecredit.com to apply online, or call (800)365-8295 to apply over the phone.

Office information from Derrick G. Hickey, MD

Notice of Privacy Practices
-for your information only. You do not need to print or sign this document prior to your first visit.

Driving Directions to Office
Driving directions to our office behind Cape Fear Memorial Hospital.

Map of Cape Fear Campus
Map of Cape Fear Campus showing Doctors' Park behind the hospital. Our building is denoted with the letter "G."

New Patient Forms Only
New Patient Forms only, without driving directions and welcome letter.

New Patient Forms with Driving Directions and Welcome
All the forms you will need to complete if you are a new patient. Includes welcome letter with list of items to bring to your appointment, all new patient office forms, and driving directions with a map of the Cape Fear Hospital Campus, where we are located.

Referral Request Form - FOR PHYSICIAN USE ONLY

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Derrick G. Hickey, MD Port City Orthopaedics, PLLC

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