Forms for the New Patient

Forms for the New Patient

Most of the new patient documentations can be filled out online and should have been emailed to you. If you have not received the new patient forms by email, please contact our office and request them. Otherwise, use the forms below.

If possible, please come to your first appointment prepared with your New Patient Forms completed, insurance information, copy of your previous medical records and a form of identification. 

Notice of Privacy Practices

This Notice describes how medical information about you may be used and disclosed and how you can get access to this information.

Protocol for Returning Calls

Additional Patient History

Payment Collection Policy

Referring Form

Directions to the Center

Information Form

To schedule a consultation

Call today at (615) 321-8899 or Make an Online Appointment

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*Privacy Notice: Your information is held confidential and will never be released. By submitting this form, you give consent for a representative to contact you via phone, sms text, and/or email. All personal data fields remain private and will only be used to assist you with our service. If you prefer to contact us by phone instead, you can reach us at (615) 321-8899.

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