The following documents are used regularly by Pisgah Family Health. These are available to speed up your next visit to our office. Print the appropriate forms, complete them by hand, and bring the papers to your visit. Please do not attempt to Email these to us, as we cannot guarantee the privacy of Email.
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Patient ID and insurance info Adult Medical History Health Screening Checklist |
These forms should be completed before your first visit to our office. |
| HIPAA privacy | How we protect your privacy, and what is required by Federal Law. |
| Request for Records | This form allows us to obtain your medical records from another provider. |
| Practice Info | Information about our practice and services we offer. |
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Men's Health Women's Health |
Our health maintenance recommendations for men and women by age. |
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Child Medical History Minor Child Medical Release Patient ID and insurance info |
These forms should be completed before your child's first office visit. |
| HIPAA privacy | How we protect your privacy, and what is required by Federal Law. |
| Request for Records | This form allows us to obtain your child's medical records from another provider. |
| Practice Info | Information about our practice and services we offer. |
Choose the form for your child's age. Please complete this form, and bring it to your well-child checkup. This may require you to interact with your child at home for 15-30 minutes of testing.
Print these worksheets, and use them as a guide to age-appropriate learning tasks for your child.