260 Merrimon Avenue, Suite 200 Asheville, NC 28801 • (828) 254-2444

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Folder Forms & Patient Policies

NOTE: You must have Adobe Acrobat Reader installed to view and print these forms. It is a free download from Adobe.com.

Categories

Folder Well Child Checks

Includes questionnaires for developmental stages of your child's growth. The M-Chat should be included for 18 months and 2 year well-child visits.

pdf Appointment Policy

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pdf Billing Policies for Annual Exams

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pdf CFP Incoming Records Release Form

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pdf CFP Outgoing Records Release Form

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pdf Consent for Telehealth Services

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pdf Divorce/Marital Discord Policy

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pdf Medicare ACO

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pdf Medicare Annual Wellness Visit Form

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pdf Notice of Privacy Practices

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This notice describes how medical information about you may be used or disclosed and how you may get access to information

pdf Obtaining your Lab Results

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pdf Outside Lab Policy

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pdf Patient and Visitor Code of Conduct

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pdf Patient Registration and Annual Update Form

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pdf Understanding Medical Billing

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260 Merrimon Avenue, Suite 200
Asheville, NC 28801
(828) 254-2444

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