Disability/FMLA Form
To complete a disability/FMLA form: Please click the link below to begin the disability/FMLA form process; Please DO NOT bring forms to the practice to turn in.Make sure to have your disability or FMLA form with you BEFORE logging in! (You should have received these forms from your disability carrier or employer). No forms are…
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Allergy Drop Reorder FormDownload Medical Release Form to usDownload Medical Release Form from us Click Here Disability/FMLA forms and instructions Click Here
Read MoreRequest Medical Records
For a copy of your medical records: Please click the link below submit a medical records request; Do NOT submit your request in person.You will be asked for payment on this page as well. There is a one time charge of $25You should receive your records within 5 business days of completing your request.Any questions,…
Read MoreCancellation & Rescheduling Policy
Reschedules and Cancellations Please call our office during regular business hours at 615-889-8802 to reschedule or cancel your appointment. We ask that you give us at least 24 hours notice of a reschedule or cancellation. Reschedule/Cancellation Policy Our providers and staff try diligently to meet the needs of our patients when scheduling appointments, which is often challenging for a busy medical office. We have…
Read MoreHIPAA Statement
NOTICE OF PRIVACY PRACTICES Privacy Officer: Kelly Morgan 615-889-8802 Effective Date: 09/23/2013 THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY. We understand the importance of privacy and are committed to maintaining the confidentiality of your medical information.…
Read MoreMedical Records Request
Steps For Requesting Your Medical Records 1. Submit an authorization form online, or download a .pdf version: Auth Form (English) or Auth Form (Español) The .pdf version of the authorization form can be submitted by the following methods: Upload: Click here to upload a pdf version of the requestEmail: A .pdf of the completed…
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