NEW PATIENT FORMS

Print ALL of the New Patient forms listed below. 

Please fill out all forms and bring with you to your appointment. You can fill out online and print or print and fill out by hand.  Please arrive 15 minutes early for your appointment with your paperwork ready to go.

If you are coming in for lab work please bring your paperwork, drivers license and insurance card. Our lab on site (PathGroup) will file your insurance for any lab work done. McMinn Clinic cannot guarantee that your labs will be covered by your insurance. If you are unsure what your insurance will allow, we are happy to give you a copy of your lab order so you can contact your insurance company directly. We suggest you do this before you have your labs drawn. Once it is billed to insurance PathGroup cannot remove any tests.

McMinn Clinic does not file insurance for any services.

Please note that we have a 24 hour cancellation policy. We ask you to call and reschedule if you cannot make your appointment. There is a same day cancellation fee for all appointments on the schedule. The fee varies depending on the person you are seeing. Thank you!

NEW PATIENT REGISTRATION

NEW PATIENT MEDICAL HISTORY FORM

FEMALE HORMONE CHECKLIST

ANDROPAUSE FORM (men only)

 HIPPA FORMS:

Notice of Privacy Practices

Private Service Agreement

Authorization for Treatment

No-Show Policy

Authorization to Release Medical Information

Credit Card Information

 

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