To set up an initial visit:
- Contact us by phone (615) 459-7104 to schedule your appointment
- Print and complete the forms below
- Bring your completed forms to the office
- Please arrive 20 minutes early to verify paperwork
First Visit Forms
- Health History - Pediatric
This form is used to collect health history for pediatric patients. - Patient Registration - Pediatric
This form is used to collect basic patient and insurance information, medical history, and medical information for Pediatrics. - Patient Registration - Adult
This form is used to collect basic patient and insurance information, medical history, and medical information for Adults. - Authorized Contact - All Patients
This form lists all individuals that can be informed about general medical conditions and diagnosis (including treatment, payment, and healthcare information). - Medicare Wellness Form
This form is a checklist for patients scheduling their Medicare Wellness Annual Visit.