Printable Forms

Please feel free to print the forms, complete them, fax them to 828-277-0277 or bring them to your appointment to expedite the registration process the day of your visit. Please contact our office with any questions.

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Notice of privacy practices (174 Kb)
Acknowledgement of receipt of notice of privacy (66 Kb)
Patient Registration (81 Kb)
Health History (304 Kb)
Consent for endo treatament (32 Kb)
Office Payment Policy (71 Kb)
Authorization for release compound (126 Kb)