Patient Information

Patient Forms

Please fill out the attached forms and bring them with you to your appointment.

Appointments

To allow for an opportunity of better care and convenience to the patient, our patients are seen by appointment only. When scheduling your appointment, you will be ask to provide some brief personal and insurance information. You will also be notified that we will need for you to complete some required paperwork prior to your arrival and bring with you on the date of your appointment. The required patient forms may be accessed and printed from our website. If you do not have access to the internet, you can request that the staff mail this information to you or you may arrive 20 minutes prior to your appointment to complete the forms. In order to prevent delays on the date of your visit, please have this paperwork completed and readily available when you arrive. If you do not have your paperwork on the date of appointment, you will be asked to complete prior to being seen.

Cancellations

If you are unable to keep an appointment, please give us at least 24 hours notice so that we may open your appointment time for another patient.

Appointment No Show or Missed Appointment

It is the clinic’s policy that if a patient misses a set amount of appointments without cancellation or rescheduling, the patient will be charged a missed appointment fee of $30, which the patient will be responsible for payment. On review of the patients missed appointment history and non-compliance of treatment, the patient may be discharged from care of the clinic physicians and providers for repeated appointment abuse.

Phone Calls

If you have a problem or question between appointments, please give us a call. Identify yourself and state the reason for your call along with a phone number where you may be reached. The phone operator will route your call to the appropriate area.  If the call is medical in nature, after discussing with the physician, the nurse may be able to answer your questions. If the nursing staff feel that the issue needs to be addressed by your physician/provider, they will call you as soon as possible. It is not our policy to treat patients over the phone. If your condition requires treatment, you will be asked to come into the clinic.

Prescriptions

The refill of long term medications may be handled over the phone during office hours, if you remain under active care. It is not our policy to prescribe new medications over the telephone and if you have not remained under active care, you will be asked to come into the clinic for an appointment prior to medications being refilled. Please call as early in the day as possible for your refills.

Smoking

Our clinic is a non-smoking facility and smoking is prohibited on any area of our clinic or grounds.

NONDISCRIMINATION NOTICE STATEMENT
West Tennessee Healthcare (WTH) does not exclude, deny benefits to, or otherwise discriminate against any person on the grounds of race, color, national origin, age, religion, disability, Limited English Proficiency or sex, including discrimination based on gender identity, sexual orientation, sex stereotyping or pregnancy in admission to, participation in, or receipt of the services and benefits under any of its programs and activities, whether carried out by WTH directly or through a contractor or any other entity with which WTH arranges to carry out its programs and activities.

For further information about this policy, contact Amy Garner (731) 541-9914.