Patient Forms

These forms are most often used by patients and Physicians. You may download and bring the completed form with you to your first appointment to save time. You may also fax or email the form to us. Please feel free to call us at 828.391.5164 with any questions.
Form Name Description
Certificate of Medical Necessity Certifying statement for diabetic shoes
HIPPA form Health Insurance Portability and Accountability Act (HIPPA) stating how your health information may be used and disclosed