Patient Forms


 

In order to expedite the services we provide and save valuable time when you arrive at our office, we ask that you fill out and bring related forms to certain appointments. 

If you are scheduled for a New Patient Appointment or Complete Physical/Annual Wellness Visit, please complete the Comprehensive Health History Questionnaire below, print and bring with you to your appointment.  If you are unable to print or would like to complete and submit via email, you may do so: download, complete, attach and send to information@rdmgpa.com.  Please be aware that your information will not be encrypted.

New Patients will also need to complete the Financial Policy and HIPPA forms below and bring with you OR these can be given to you and completed upon your arrival at our office for your appointment.

 

 

Patient Portal

Family Care of Fairview is excited to announce our new Follow My Health Patient Portal. This is a great tool for you to communicate with our practice! Through this online portal, you are able to:

  • View appointments
  • View your health information
  • Prescription Renewal
  • Ask a Question

Patient Portal Login

Insurance

*MOST INSURANCES ACCEPTED*

During each visit to our office, please be prepared with your most current insurance card. You will be asked to confirm your address, phone number, and insurance coverage every time you visit our office during check in. We appreciate your cooperation as we strive to provide the highest level of care from start to finish by preventing unnecessary demographic mistakes that can prevent/delay claim payment resulting in incorrect billing. This also assures that we are able to reach you with pertinent health-related information in a timely manner.

More Information

Aetna
Blue Cross Blue Shield
Cigna
United Healthcare

Location

Family Care of Fairview
136 Charlotte Highway
Asheville, NC 28803
Phone: 828-296-0880
Fax: 828-296-0855

Office Hours

Get in touch

828-296-0880