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Haywood county

New Patient Forms

Please print and complete the following forms. This will speed up processing when you arrive for your initial doctor’s visit. Thank you for choosing Midway, and we look forward to a long and healthy relationship with you and your family.

NOTE: You must have Adobe Acrobat Reader installed to view and print this form. It is a free download from Adobe.com


Patient Consent Form

Patient Demographics Form

New Patient Form



















Copyright © 2009 Midway Medical Center, PA. All rights reserved.
PO Box 1409, Canton NC 28716
Fax (828) 627-2216