Piedmont Vista

828-728-2188
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About Us

Forms and Policies

Before your appointment with us, quickly and conveniently access patient forms from our practice.

 Download Patient Forms

Get Adobe AcrobatTo view the forms listed below, you will need Adobe Reader. You may download Adobe Reader for free at www.adobe.com. Please bring your completed forms with you to our office at the time of your visit.

Please download, print and complete the following forms:

All New Patients:

Health History.pdf

Consent and Authorization

Notice of Privacy Policies

Plus choose one of the following categories:

Adults:

Information Update

Pediatrics:

Information Update

 

Office Policies

Appointments

Appointments can be made by calling our office during normal business hours.  For referring physician's please fax the Piedmont Vista Request for Consultation form to (828) 728-2215.

After Hours & Emergency Care

If you are experiencing an emergency, dial 9-1-1 or head to the nearest emergency room.  For all other calls, an on-call physician is available 24-hours a day, 7-days a week.

Prescription Refill Policy

Prescription refills will be handled through your pharmacy only.  We require 3 days advance notice from your pharmacy to complete the prescription refill.  In some instances, we may require that the patient be seen in our office prior to medication renewal.

Financial

All office visits require payment at the time of service.  We accept cash, checks, and most major credit and/or debit cards.  Please contact our billing office at (828) 728-2188 extension 203 should you have any financial questions or concerns.