Patient Forms
Download, print and complete forms prior to your appointment to save time at check-in.
Please select the set of forms which best matches your upcoming appointment. If you do not have the opportunity to fill out the forms in advance, the forms will be provided when you arrive.
Medical Records: All Authorizations for the release of Medical Records TO The Family Health Centers and Authorizations for the release of Medical Records FROM The Family Health Centers should be faxed to The Family Health Centers at Fax: (828) 253-4830. We will document and forward your medical records and requests to our medical records partner, Medicopy. Please do not fax medical records or requests directly to MediCopy.
Questions about forms? Please give us a call at (828) 258-8681.
We look forward to seeing you!
New Adult Patient Forms Packet
Established Adult Patient Forms Packet
Established Teen Patient Forms Packet
Medicare Annual Wellness Visit Packet
Request Release of Medical Records FROM The Family Health Centers via MEDICOPY
Request Release of Medical Records TO The Family Health Centers via MEDICOPY