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  Ashe Family Healthcare : Become a Patient: Joining the Ashe County Healthcare Family

 

Acceptance into our practice

All patients seeking entry into the practice are pre-screened based on the prospective patient’s self-reported health history, information obtained from available North Carolina databases and metrics used to ensure the baseline health information falls within the scope of practice of our clinical team.

Incomplete or unsigned applications will not be processed for acceptance.

Reasons for denial of acceptance may or may not be disclosed to the applicant. Reasons for denial can include high-level medical complexity, multiple prescribing providers, failure to disclose the use of controlled prescription medications, history of controlled substance medication use, recommendation of AFH Patient Compliance Panel, history of medical non-compliance, or a history of illegal activities.

If the new patient application is for an individual under the age of 18, a notarized copy of child’s birth certificate with the biological parent(s) listed and/or legal guardianship paperwork must accompany the application. The minor patient’s parent or legal guardian is required to be present at each and every visit to AFH. No other family member, relative, friend, etc. is permitted to serve in place of the parent/legal guardian. The parent/legal guardian must be able to furnish photo identification upon request of AFH staff.

It is our moral and ethical duty to report to appropriate authorities any suspicious or illegal activities including patient abuse and human or drug trafficking.

Please allow 14 business days for new patient applications to be processed.

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Posted Aug 5, 14 by Ric Kolseth Under Eligibility Permalink 1407254803

New Patient Application Packet

We thank you for considering Ashe Family Healthcare to be your new primary care provider (PCP).

You can download our new patient packet (*.PDF) by clicking the link below or contacting our office to send an application via fax, mail or email.

In order to ensure proper vetting, please allow 14 business days for new patient applications to be processed.

Incomplete or unsigned applications will not be processed

Completed packets should be returned in person or via email to Ashe Family Healthcare.

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Posted Aug 5, 14 by Ric Kolseth Under Forms Permalink 1407253978