Patient Information

Form Downloads

• Patient Information Form (Form #31654, Rev 1/23)
• Parent / Guardian's Consent for Treatment, Information Sharing, and Financial Agreement (Form #31647, Rev 5/20)
  
  
• Adult Patient Information Form (Form #31957, Rev 10/17)
• Adult Patient Consent for Treatment, Information Sharing, and Financial Agreement (Form #31648, Rev 12/20)
  
  
• TSSAA Physical Examination Form

Accepted Insurance

Most major insurances accepted, including TennCare plans. Please call (423) 259-3701.

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