New Patient Forms

New patients may download, print, complete, and sign our forms at home to save time during their first appointment. Use the free Adobe Reader software to open them; click on each form to download.

If you have any questions about what to put on a form, please contact our office at 423-764-7100.

Patient Registration Form
Click the image to download the patient registration form

(1 page, 9,126 KB)

Medical History Form
Click the image to download the medical history form
(1 page, 8,149 KB)

Insurance Forms
Click the image to download the insurance form
(1 pages, 12.4 KB)

Privacy Practices Forms
Click the image to download the privacy practices form
(2 pages, 46 KB)

HIPAA Form
Click the image to download the H I P A A form
(1 page, 4,186 KB)