Patient Paperwork
Nobody wants to spend the first fifteen minutes of an appointment filling in boxes on a clipboard. Download the intake packet below, work through it at home at your own pace, and bring the printed pages with you. Your therapist reads it before you sit down, so the visit starts with your evaluation instead of your paperwork. Referring physicians will find the referral pad here too.
Two forms, and only one of them is yours.
New Patient Intake
The GeriForms packet: your contact and insurance details, your medical history, and what you want to get back to doing.
Download →Referral GeriPad
For referring physicians and their staff. One page to send a patient to any of our five West Tennessee clinics. Fax it to (800) 559-7091.
Download →No printer at home? That is fine. Arrive about 15 minutes before your appointment and the front desk will have a paper set ready for you. If a question on the form is unclear, call (731) 462-4315 → and we will go through it with you.