Patient Forms


Below are sets forms for specific types of appointments. To help reduce check-in time when you visit our offices, you are invited to print and fill out the appropriate forms before you arrive. If you do not have the opportunity to fill out the forms in advance, they are provided when you arrive. Questions about forms?  Please give us a call at (828) 258-8681. We look forward to seeing you!


New Adult Patient Forms


New Adolescent/Teen Patient Forms


Medicare Annual Wellness Visit Form


Established Adult Patient Forms


Established Adolescent/Teen Patient Forms


Request Release of Medical Records FROM The Family Health Centers - Medicopy


Request Release of Medical Records TO The Family Health Centers