Forms

Medical Records

Copies of medical records may be requested, in writing, only by patient or an authorized person.

HIPAA

Our office is compliant with Heatlh Information Portability and Accountability Act of 1996, which pertains to the privacy of protected health information. A copy of our notice of privacy practices will be given to you at your first initial visit.

Downloadable Forms

Patient Form (PDF 85 KB)

Minor Patient Registration Form (PDF56 KB)

How To Reach Us

615.563.2891
615.563.4582 (fax)

Hours

Monday - Thursday 8:00 AM - 5:00 PM
Friday 8:00AM - 4:00 PM
After hours & Emergency Call 563-4001

Policies & Forms

Forms
Privacy Policy
Hippa
Patient Form

Location

205 S. McCrary Street
Woodbury, TN 37190
Map