Request an Appointment
(828) 682-2104
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Patient Forms

lease complete the forms below prior to your appointment to help streamline your check-in process. Forms are available as secure online submissions for your convenience or as printable PDFs if you prefer to complete them by hand.

Online Forms

Fill out these forms easily online:

Patient Registration Form
HIPPA Authorization
Insurance Information
Notice of Privacy Policy
Release of Records
Consent Form for Delivery of Prescription
A desk with a stack of papers, a mug, and a pair of glasses.
A stack of white papers with glasses on top of a wooden desk in an office room.

Downloadable PDF Forms

Please print all forms and bring completed with you to your appointment.

Patient Registration Form
HIPPA Authorization
Insurance Information
Notice of Privacy Policy
Release of Records
Consent Form for Delivery of Prescription