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Downloadable Forms


Before you come to the hospital, we recommend you review our privacy practices and fill out basic medical forms in advance. This allows you to by-pass most paperwork at the hospital, allowing you to see your provider more quickly.


Notice of Privacy Practices

Patient History Form

Authorization to Use and Disclose Patient Health Information

School Consent-Rural Health Clinic

Home Pulse Oximetry Education and Log

COVID-19 Vaccination Consent

2022 Community Needs Assessment


The 2022 Community Needs Assessment was completed according to the requirements specified in the Patient Protection and Affordable Care Act. Interested parties may download the full report by selecting the file below. Any questions about the report may be directed to Roane General Hospital, Quality Management Department.


Download a copy



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Please share with us regarding your experience at our hospital.

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