All NEW and RETURNING patients must fill out the required registration forms, preferably, before you arrive for your appointment. We have a few different options for our patient to do so.
Option 1. The forms can be filled out and submitted electronically by simply clicking the the following link.
Option 2. If you choose not to use the e-forms, we also offer the following individual fillable PDF forms, which can either be downloaded with Adobe Acrobat Reader before being filled out or they can be printed and filled out. They can then be emailed to [email protected], faxed to (901) 763-4794, or mailed to the office.
- New / Returning Patient Information
- Patient Registration Form
- Medical History Form
- Additional Medications & Medical Information Form
- HIPAA Acknowledgement Form
- HIPAA Privacy Rules
We would prefer to receive the paperwork BEFORE your appointment; however, if you choose to bring them to your appointment, please fill them out before your scheduled appointment time; or arrive at least 30 minutes before your scheduled appointment time to fill them out here. Failure to be prepared may result in your appointment being postponed.
What To Expect
Your first visit to our office involves a few special steps so that we can get to know you. Being well-prepared for your appointment will ensure that the doctor has all of the needed information to provide the best possible care. It also will help relieve any unnecessary anxiety you may be feeling. Educate yourself on your symptoms by reviewing the content on our site. You'll also find all the practical information you need, such as a map and directions to our office, practice hours, payment policies and more. Please take some time to review our Doctors page and familiarize yourself with the doctors. We look forward to your first visit.