Patient Forms

NOTES:  These are Patient Forms that can be filled out and printed and brought to your appointment.

ESTABLISHED PATIENT FORMS

RELEASE OF INFORMATION FORMS

ANNUAL WELLNESS QUESTIONNAIRES

Annual Physical Questionaire:– Patients that have commercial insurance (not Medicare or Medicare Advantage Plan)

Medicare Advantage Wellness Questionaire: – Patients that have Blue Cross Advantage, Humana Gold Plus, United Healthcare Advantage, Aetna Medicare Advantage or AARP Medicare Advantage Plans

Medicare Annual Wellness: – Traditional Medicare, Cigna Healthspring, Blue Cross Advantage (out of state), or BlueCare Plus

NOTE: IF YOU ARE UNSURE which form to fill out, please call the office for assistance.

PRACTICE BROCHURES

CONTACT INFORMATION

Turkey Creek
Faculty Internal Medicine at Turkey Creek
Parkside Medical Plaza,
11440 Parkside Drive, Suite 302
Knoxville TN 37934

Phone:  865-218-9220
Fax:       865-218-3331

Get Directions

Cherokee Mills
Faculty Internal Medicine at Cherokee Mills
2250 Sutherland Avenue, Suite 121
Knoxville TN 37919

Phone:  865-218-9220
Fax:       865-218-3330

Get Directions

PATIENT PORTAL LINK