HOME
NEW PATIENTS & FORMS
ABOUT
SERVICES
CONTACT
PAY MY BILL
More
NEW PATIENTS & FORMS
New Patients:
Set up an Appointment:
(606) 219-4184
Forms:
FYI- You can get results faster if you download and fill in these forms before your appointment. Please drop them by our office or FAX to: 606-678-8368
For All Patients:
Authorization for Release of Information
Insurance & Payment Policy Agreement
Optional Patient Forms:
If You are Pregnant, please fill in
:
Pregnancy Consent Form
Forms for Referring Physicians:
ICD-10 Lookup Codes for ABI, CT Lung Cancer Screening and DEXA