Weaverville Family Medicine
Hospitalized Patient Information Form

Please print this form.
Bring a signed copy with you to your appointment.


To our valued patient,

To be more accessible to you and your family, our providers have made arrangements with a group in Asheville to assist our patients who require in-patient care at Mission-St. Joseph hospital.

Asheville Hospitalist Group is a local group of internal medicine specialists known as "hosptialists" that provide in-patient care while you are in the hospital. If you are an adult and require a hospital admission and/or in-patient care, an Asheville Hospitalist Group physician will oversee your treatment while you are in the hospital.

The Mountain Area Family Health Center, a local group of licenced resident and faculty physicians, will be providing in-patient hospital care for newborns and children under the age of 18 and requiring hospital admission and/or in-patient care.

If you or your loved one is in the hospital, be assured that there will be ongoing communication between your provider at Weaverville Family Medicine and the physician providing your care in the hospital.

Please feel free to discuss any questions you have regarding hospital care with your provider.



I have read and understand the statement above regarding direct hospital care and have been given the opportunity to discuss this with my care provider.

Patient Signature: ____________________________________ Date: ________________


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