PATIENT RESOURCES 

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

Charity Care Poverty Guidelines

Charity Application

Financial Assistance Policy

Financial Assistance Plain Language Summary

Authorization to Use and Disclose Patient Health Information

Standard Charges

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2019 Community Needs Assessment

 

The 2019 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

 

2019-RGH-CHNA-Cover.png

Tell Us How We're Doing

 

 

Please share with us regarding your experience at our hospital.

Fill Out The Survey!

 

VISIT US

200 Hospital Drive

Spencer, WV 25276

CALL

Tel: 304-927-4444

 

 

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