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DOCUMENTS

We have compiled the forms and information you will need for your initial or annual appointments into easily viewable and printable documents below.  To access the documents click the icon to the right of the needed document name.  

Demographics
Form

Financial
Policy

New Patient
Medical History

*Word/Excel Documents are available for you to complete from the document and print. 
*PDF's are available to download, complete, and print. 

Notice of Privacy Practices

HIPAA Prescription
Policy

HIPAA Release for Medical/Health Information

*Word Documents are available for you to complete from the document and print. 
*PDF's are available to download, complete, and print.

Please be prepared for your appointment by having the necessary paperwork filled out prior to your arrival.  Also, be sure to bring your Photo ID, Insurance Card(s) and any current medications including over the counter that you are taking. (bring in the actual pill bottles).

If you do not see what you are looking for, please contact our office at (615) 444-4126.

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