“Great practice with great providers and awesome, compassionate staff. Convenient hours and have never had a trouble getting worked in for emergency sick appointments. Wouldn't go anywhere else! Thank you!”
Appointments
We are currently accepting new patients. Please call our office at 276.638.7205 to schedule an appointment. Once you make an appointment, that time will be reserved for you. If, for some reason, you are unable to keep your scheduled appointment time, please call us to reschedule as soon as possible.
Please arrive 15 to 20 minutes before your scheduled appointment time to allow for completion of proper registration paperwork. If you would like to complete your paperwork prior to your appointment, you may download the appropriate forms below.
Patient Forms
Authorization for Release of Medical Information (PDF) – Allows patients to authorize the disclosure of their health information to a designated individual, company, agency, or facility.
Authorization and Consent for Treatment (PDF) – All patients must provide their consent for treatment, communications (calls, emails, and text messaging), and agreement of financial responsibility.
Preferred Contacts (PDF) – Patients are encouraged to complete and return the Preferred Contacts Form but it is not required.
New Patient Packet Please feel free to print and complete the form and return back to the office for physician approval. Once the patient form is approved or declined, we will contact you with additional instructions.
Office Policies
Financial Policy (PDF) - This form advises patients of their complete financial responsibility for all medical services received without regard to insurance eligibility or coverage determinations. Política Financiera (PDF)
Notice of Privacy Practices (PDF) - Describes how health information about you (as a patient of this Care Center) may be used and disclosed, and how you can get access to your individually identifiable health information. Please review this notice carefully. Aviso de prácticas de privacidad (PDF)
