Asheville Internal Medicine

(828) 253-4851
60 Livingston St Ste 200 Asheville, NC 28801
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Forms

If you are new to Asheville Internal Medicine and would like to expedite your first visit please review the attached documents below.

Attachments:

New Patient Health Assessment Form Revised 030217.docx

Established Patient Health Assessment Form revised 030217.docx

New Patient Letter.pdf

Privacy Practices.pdf

Medical Records Release Form.pdf

Authorization to release personal and financial information.pdf

Patient Portal Consent Form.pdf

PCMH Flier.docx

Patient Health Questionnaire (PHQ-9).pdf

ACO Participation

Attention Medicare Patients of Asheville Internal Medicine:

In the coming weeks, you will be receiving a letter in the mail from Mission Health Partners regarding our participation with Mission's Accountable Care Organization (ACO). An ACO is a group of doctors, hospitals and health care providers working together with Medicare to give patients high quality care and coordinated services. By participating with the ACO program, we can work closely with other physicians and healthcare providers that are enrolled in the ACO to help coordinate care for our patients.

We would like to reassure all of our patients that by participating with Mission's ACO Program, does not mean that we are part of Mission Hospital System. We are still privately owned and operated.

Asheville Internal Medicine

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Forms

ACO Participation