do i need to set up an appointment I need to get a new drivers license I moved from out of state I just need to switch it for a N.C. license what documents do I need

Yes you need an appointment. Also need previous states valid DL, proof of address (utility bill, cell phone bill), proof of insurance, and social security card.

i am age 86 w/medical disability, do not need wheelchair. Need new ID card, medical exam and license renewal. Auto requires inspection and tag replacement.

Yes . You need appointment. You will need your out of state passport, new address proof check https://www.ncdot.gov/dmv/license-id/driver-license-appointments/Pages/default.aspx