For life-threatening emergencies, call 911.Clinic: 931-996-4247

Secure new-patient registration

Start with the patient portal.

Open the patient portal, then choose Book an appointment or Pre Register. Availability and confirmation depend on the office. Medical information is not submitted to this public website or sent through ordinary email.

Secure destinationUse the clinic’s external patient portal for patient-specific information.

Choose a registration path

Start with the correct patient type

Both buttons open the same clinic patient portal. Choose Book an appointment or Pre Register, and follow the office’s instructions for the patient’s age and visit type.

Age 18 and older

Adult registration

For a new adult primary-care patient, including Medicare patients. Have your contact details, insurance, medication list, and health history ready. The office will explain which forms are needed.

Open portal for adult registration ↗
Newborn through age 17

Pediatric registration

For a new child or adolescent patient. A parent or legal guardian should complete guardian, custody, insurance, health-history, medication, consent, and responsible-party information.

Open portal for pediatric registration ↗

Need help with registration or visit preparation?

Call or text the clinic at 931-996-4247. Do not text medical histories, Social Security numbers, insurance images, or other private information.

Text the office

Information to prepare

Prepare your registration information

These are common registration topics. Follow the office’s instructions about which online or printable forms to complete and how to return them securely.

Patient & guardian details

Contact information, responsible party, guardianship, emergency contacts, and communication preferences.

Insurance & identification

Primary and secondary coverage, policyholder information, insurance cards, and identification when requested.

Health history

Current conditions, surgeries, hospitalizations, family history, preventive care, and previous clinicians.

Medications & allergies

Current prescriptions, over-the-counter medicines, supplements, allergies, and reactions.

Consents & signatures

Treatment consent, privacy acknowledgment, financial policies, authorized contacts, and release-of-information choices.

Visit preparation

Pharmacy, specialists, outside records, appointment needs, and documents to bring to the clinic.

Before you begin

Have these items nearby

  • Photo identification for an adult or responsible party
  • Current insurance cards
  • Medication bottles or an accurate medication list
  • Allergy and reaction information
  • Dates of surgeries, hospitalizations, and important immunizations
  • Previous primary-care and specialist contact information
  • Guardianship or custody documents when applicable