Patient Forms

Would you like to save time at your visit?

Now you can select and print the necessary forms for your upcoming visit. You may complete the forms anytime before your appointment and give them to the check in patient representative when you arrive for your appointment.

*On the day of your appointment please arrive 15 minutes early and remember to bring all forms, any insurance cards and medication information with you.

Please Note:  Swain Medical Group is proud to offer our patients a variety of services, in order to deliver the best care for you and communicate with you regarding appointments it is necessary that we keep all of your information up-to-date. To help us serve you better we will ask that you verify your contact and insurance information at every appointment check-in.  Additional information is also available once you are signed up for the Patient Portal. 



Financial Assistance Forms:

Financial Assistance/Charity

Financial Assistance Policy / Plain Language Summary*

Financial Assistance Application

*Acrobat Reader is required to view these files. If you do not have this program, download it free at www.adobe.com/reader/.

Financial Assistance Forms Available for Swain Family Care.

It is the policy of Western Carolina Physician Practice Management, LLC., NHSC approved sites to provide essential services regardless of the patient’s ability to pay. Discounts are offered based on family size and annual income. 

Please Click Here for a Sliding Fee Discount Application

If you have any questions or comments, our staff is available to assist you Monday-Friday from 8:00 a.m. - 5:00 p.m.