Patient Education Download Forms






Patient Education & Forms

Patient Forms

Filling out patient forms ahead of time can help save you time when you visit our office.

Click here to review our Notice of Privacy Practices (HIPAA information) and attestation.

Patient Information Forms

If you are a first-time visitor to our practice OR updating information for your annual physical, please PRINT and fill out this form.

VFM patient info forms

Transfer Medical Records

If you need to transfer your medical records from another doctor’s office, please PRINT and fill out this form. Records release form

Medicare Wellness Checkup

Complete checklist before seeing your doctor or nurse; please PRINT and fill out this form. Medicare Wellness Checkup Checklist


Form Requirements

Patient forms require the free Adobe Acrobat Reader, available from






Our goal is to provide you
with the highest level of care for all your family’s medical needs. We are NCQA Certified.

See how we’re different

Personalized CarePersonalized Care

Personalized Care

We offer you personalized
care and convenient service, with minimal wait times in our office and same-day appointments available on most days.

Contact us

Patient FormsPatient Forms

Patient Forms

Need to download a form?
You can download and print Patient Forms from the comfort of your own home.

Download forms

Vickery Family Medicine
15 Yorkshire Street, #202
Asheville, NC 28803


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NCQA Certified
From physicians to health insurance companies, NCQA is the top health care accreditation.