Search for: Home Our Practice Contact Us For Patients Forms We have various forms that can be accessed from our web site. These forms can be viewed and printed off for your convenience. We encourage patients that plan to establish with our practice to print out the New Patient Form and the New Patient Clinical Intake Form located at the bottom of this page, fill them out, and bring with you to your first office visit. It is also very helpful if you can request records from your previous physician to have these sent to our office for review prior to your initial visit. You may print off the Records Request form, fill it out and mail to your previous physician. They will automatically mail your records to the office that you have marked on the form. Medical and Medicine Prescription Assistance Program Information New Patient Forms Kindergarten Physical Form Medical Records Release Form North Carolina Sports Physical Form DOT Physical Patient Portion Forms These forms require Adobe Reader. Download Adobe Reader. Hours Monday, Tuesday and Thursdays: 8:00-12 pm and 1pm to 6pm Wednesday and Friday: 8a-12pm and 1pm to 4:30pm Closed every first Wednesday from 8am-9am Copyright 2013-2015 Chatuge Family Practice.

Search for: Home Our Practice Contact Us For Patients Location This page can't load Google Maps correctly. Do you own this website? OK Address 241 Church Street PO Box 1309 Hayesville, North Carolina 28904 Office Phone 828-389-6383 Additional Phone 828-389-6384 Fax 828-389-6803 Hours Monday, Tuesday and Thursdays: 8:00-12 pm and 1pm to 6pm Wednesday and Friday: 8a-12pm and 1pm to 4:30pm Closed every first Wednesday from 8am-9am Copyright 2013-2015 Chatuge Family Practice.