NEW PATIENT PACKET
If you are a new patient with an upcoming appointment, please download our New Patient Packet which includes the following:
- Welcome Letter
- Patient Registration Form
- Disclosures and Consents Form
- Notice of Privacy Practices
- Health & Medical History Form
Complete the packet and bring it with you to your appointment. We look forward to meeting you in person.
INSURANCE & REFERRAL INFORMATION
In attempt to accomodate the needs of our patients, we accept most insurance plans. Please telephone our office at 901-747-3900 to confirm if your insurance plan is accepted.
Please note that most insurance plans require a referral from your Primary Care Physician to see a specialist. It is your responsibility to secure a referral prior to your visit with us. If you are unsure of whether your specific insurance plan requires a referral, please call your insurance company for benefit information.
With your cooperation and help, we will be able to concentrate on caring for your medical needs in the most efficient manner possible.
YOUR FIRST VISIT
Welcome to Our Clinic
* Insurance Card
* Your prescription eyeglasses/contacts
* Referral from your Primary Care Physician (if required)
* List of medications and dosages you are currently taking
* Copayment (cash, check, credit card)
* Completed New Patient Packet
We look forward to meeting you at your appointment! Please call us (901-747-3900) if you have any questions.