Clyde Office (828) 627-2211 | Canton Office (828) 646-0080

For Patients

Patient Forms

Please complete the Patient Registration Form and bring it with you to your visit. This will speed up processing when you arrive for your appointment.

Please complete the Medical Records Release Form in order to have your Midway Medical Center records released to another provider. You may also complete this form to have medical records from another provider released to Midway Medical Center. You may return your form to either office location in person, by fax, or by mail.

To inquire about becoming a new patient at Midway Medical Center, please print and complete the following Prospective New Patient Form. You may return your form to either office location in person, by fax, or by mail. Once your form is received, we will check physician availability for a new patient and our office staff will contact you.