Your First Visit

To setup an initial visit:
  1. Contact us by phone (615) 459-7104 to schedule your appointment
  2. Print and complete the forms below.
  3. Bring your completed forms to the office
  4. Please arrive 20 minutes early to verify paperwork.


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. 





Please note the forms are in PDF format.  If you are unable to open and view these documents, you many have not installed Adobe's Acrobat Reader on your computer.  Click to download this FREE program.