Patient Forms

Don't forget to bring your insurance information with you

In order to register and treat you promptly, we request that our patients bring their current insurance information with them for each visit.

Want to save time during your visit with us? Please print and fill out the following forms and bring with you on your first appointment.

 

*****PLEASE SEE ATHENA PATIENT PORTAL FOR FORMS*****

We accept most types of health insurance. Please contact us for further details.

Important telephone numbers for in case of emergencies:

Poison Control Center 1-800-222-1222
Emergency Services & Fire Department 911
Centers for Disease Control and Prevention 1-800-CDC-INFO (800-232-4636)
Children's Hospital Of The King's Daughters 1-757-668-7000