TO SET UP AN INITIAL CONSULTATION:
• Contact us by phone at (615) 346-4036 to book your appointment
• Office hours are 8:00am - 5:00pm Monday - Friday
• Print and complete the forms below
• Bring your completed forms to the office.
Consultation Forms/Patient Registration
This form is used to collect basic patient and insurance information, medical history, medical information relating to how, when and where the problem began and the foundation agreement between the patient and doctor. Please fill out all sheets and bring them with you to your visit.
- Blue Cross Blue Shield
- United Health Care- Commercial and Community Plans
- Golden Rule
- Worker's Compensation
- If your insurance plan is not listed, then please call our office to inquire about your plan; self-pay options are available as well
How to Get to Us:
Free valet parking and front door drop off is available in front of our building. Parking is also available in the Leslie Avenue garage across the street from the Centennial Professional Plaza building off of 23rd Avenue. Our office is in Suite 301 of the Centennial Professional Plaza Building at the corner of 23rd Avenue North and Charlotte Ave. Suite 301 (see map below)