The most recent appropriations for the Department of War expired at 11:59 p.m. EST on September 30, 2025. Military personnel will continue in a normal duty status without pay until such time as a continuing resolution or appropriations are passed by Congress and signed into law. Civilian personnel not engaged in excepted activities will be placed in a non-work, non-pay status.

During this partial government shutdown, the 4th Medical Group remains open and continues to honor scheduled medical and dental appointments. Our patient appointing service is open and we're still taking requests for appointments. We're doing our best to minimize impact on our beneficiaries and their health care. The clinic’s primary care, specialty care, and ancillary services (pharmacy, laboratory, radiology) remain operational. As always, safe, and high-quality health care remain our priority. Please call 919-722-1802 to schedule or cancel appointments. For questions about TRICARE during the shutdown, please visit www.tricare.mil/shutdown.

Getting Care

Appointments & Referrals

To make an appointment:

 
For any care that your primary care manager does not provide, such as urgent, preventative, mental health, and specialty care, you will need a referral. Find out more about how to obtain the necessary referral and authorization.

Finding TRICARE Resources 

Need to find information about referrals, claims, and enrollment information? Visit the TRICARE East Region Patient Portal.  

Visit the TRICARE Resources page for information on setting up your secure beneficiary portal account, available education resources, and more.  

Contact Us

Appointments

Customer Service

Patient Advocate
919-722-0733
Monday-Friday
7:30 a.m. - 4:30 p.m.
Building 2803, Second Floor, TOPA

BCAC/DCAO
919-722-1988

Monday - Friday
7:30 a.m. - 4:30 p.m.
Building 2803, Second Floor, TOPA

Don’t forget to keep your family’s information up to date in DEERS!