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)
  
  
• Authorization for Transfer of Records Into Practice (Form #32893, Rev 1/21)
• Authorization for Transfer of Records to Another Practice (Form #32896, Rev 11/20)
  
  
• TSSAA Physical Examination Form

• Additional Measles Vaccine Consent Form (Form #34639, Rev 4/25)

Accepted Insurance

Most major insurances accepted, including TennCare plans. Please call (865) 690-2682.

Our Services

• Well checks from birth through adolescence
• Vaccines as recommended by the CDC and AAP
• Sports physicals compliant with TSSAA guidelines
• Evaluation, diagnosis, and treatment of ADHD/ADD
• Management of sports injuries

Schedule an Appointment