First Appointment

When you visit our office for the first time, there will be several forms to complete. Using these links, you may print our forms, fill them out at your home or office, and bring the completed forms with you to your appointment.

If you have any questions about a form, feel free to call us at 423-392-8100 during our regular business hours for assistance.

These forms are in Portable Document Format (PDF). You will need the free Adobe Acrobat Reader software to download and print them on your own printer.

Appointment Letter, Driving Directions
(PDF Document)

HIPAA Notice of Privacy Practices
(PDF Document)

Registration Form
(PDF Document)

Medical History Form
(PDF Document)

Surgical History Form
(PDF Document)

Current Symptoms Form
(PDF Document)

Symptoms Diagram Form
(PDF Document)

Medication List Form
(PDF Document)

Social History Form
(PDF Document)

Authorization for Disclosure of Protected Health Information
(PDF Document)