A new registration form is required for all patients. To reduce your wait time at check-in, we encourage everyone to complete the form before you arrive at the office. Simply print the forms below. then bring all completed forms with you on your next visit.
- Patient Check-In Form
- Patient Information Form
- Registration Agreement – English
- Registration Agreement – Spanish
- Authorization to Release Health Information
We will be happy to file your insurance for you; however, it is important that you provide us with the correct insurance information. Any change in your name, address, or insurance plan should be given to our front office staff upon your arrival to our office.
We can assist you with billing questions by calling (865) 835-5565.
Secure Patient Portal
Click here to access our secure patient portal for easy health information access.
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