Patient resources

Care, forms, and guidance—organized for easier access.

Explore services and common clinic fees, then download clinic documents, care plans, pediatric well-visit handouts, and reference materials.

Care at Optimum

Services for every stage of life

Comprehensive primary care for children, adolescents, adults, and older adults, with flexible options to help you get the care you need.

Adult & pediatric primary care

Comprehensive sick, follow-up, and continuity visits for patients across the lifespan.

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Prevention & wellness

Age-appropriate screening, risk assessment, and prevention planning focused on long-term health.

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Chronic disease care

Ongoing, coordinated care for common and complex long-term conditions.

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Office procedures & diagnostics

Convenient testing and minor procedures performed close to home when medically appropriate.

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Acute & same-day needs

Evaluation of new illnesses, symptoms, and minor injuries, subject to appointment availability.

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Telemedicine & home visits

Additional ways to receive care when travel, mobility, or circumstance makes an office visit difficult.

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Patient fee information

Ancillary & administrative fees

These fees include, but may not be limited to, the services listed below.

Service	Fee	Details
At-home visit travel	$150	Transportation and travel fee for an at-home visit.
Urgent same-day at-home visit	$250	Convenience and transportation fee due at the time of the visit and separate from insurance billing.
Paper medical-record pickup	$30	First set of paper copies prepared for pickup.
Medical records on a flash drive	+$10	Optional electronic copy provided on a flash drive in addition to the applicable records fee.
Returned or insufficient-funds check	$35	Applies to a check returned for insufficient funds.
Forms, letters, and outside documents	$40	Physician completion of FMLA forms, written or jury-duty letters, court documents, attorney requests, and similar documents for use outside the medical record.
External PACS X-ray access	$10	Online access to your X-ray images through the outside PACS website.

Items available during a visit: Limited durable medical equipment and medications may be available in the office when clinically appropriate. Items not covered by insurance are charged at the time of the visit.

Fees and availability may change and remain subject to applicable law, payer requirements, and the clinic’s written policies. Contact the front office with questions before requesting a service.

Please review before using these documents

Many PDFs are preserved from the prior practice website and may contain older dates, contact details, or guidance. Archived references are labeled; ask the clinic for current guidance. For registration, open the patient portal and choose Pre Register. Never email private medical information, and call the clinic at 931-996-4247 if you are unsure which form to use.

Forms & clinic policies12 PDFs Care plans & organizers5 PDFs EPSDT parent and staff visit packets18 PDFs Pediatric well-visit handouts20 PDFs Medicare & advance care planning2 PDFs

Forms & clinic policies

Printable clinic forms, policies, and notices, including archived reference copies and clearly labeled review drafts.

Adult & Pediatric Patient Registration UpdateRevised November 1, 2026 • 2 pages. Registration updates, medical-information disclosure, consent, and financial policies. Print and bring the completed form to the clinic; do not email private medical information.Open PDF ↗Procedure Video Consent (PDF)Revised November 1, 2026 • 2 pages. Approved clinic authorization; select permitted uses and complete expiration and signatures before recording.Open PDF ↗Patient Rights and ResponsibilitiesRevised November 1, 2026 • 2 pages. Revision date added; underlying content unchanged.Open PDF ↗Financial Policies and ProceduresRevised November 1, 2026 • 3 pages.Open PDF ↗Health Information Privacy PracticesRevised November 1, 2026 • 3 pages. Revision date added; underlying content unchanged.Open PDF ↗Adult Registration FormRevised November 1, 2026 • 6 pages. Print and bring the completed packet to the clinic; do not email private medical information.Open PDF ↗New Adult Patient Welcome Letter1 page • Revised November 1, 2026. Welcome, patient portal, and preventive-care information for adult patients.Open PDF ↗Pediatric Registration FormRevised November 1, 2026 • 6 pages. Print and bring the completed packet to the clinic; do not email private medical information.Open PDF ↗New Pediatric Patient Welcome Letter1 page • Revised November 1, 2026. Welcome, patient portal, and preventive-care information for parents and guardians.Open PDF ↗Release of Information FormRevised November 1, 2026 • 1 page. Print and bring the completed form to the clinic; do not email private medical information.Open PDF ↗Medicare Annual Well Visit Pre-Visit Form4 pages • Revised November 1, 2026. Complete before your annual wellness visit and bring it to the clinic. The clock and recall section is completed with staff assistance. Do not email private medical information.Open PDF ↗Supplemental Medicare Wellness QuestionnaireRevised November 1, 2026 • 6 pages. Supplemental history packet with Tennessee advance-care-planning information. This questionnaire does not create an advance directive or DNR order.Open PDF ↗

Care plans & organizers

Tools for preparing for visits, tracking health information, and following an individualized care plan.

Asthma Action PlanRevised November 1, 2026 • 2 pages. Clinician must complete and sign the patient plan before use; medication references are not patient orders.Open PDF ↗Migraine Action PlanRevised November 1, 2026 • 3 pages. Clinician must complete and sign the patient plan before use; medication references are not patient orders.Open PDF ↗Adult Healthcare Binder35 pages • Revised November 1, 2026. Screening and health-maintenance guidance updated; other binder content retained. Complete your plan with your clinician.Open PDF ↗Parents’ Baby Checkup GuideArchived 2019 publisher original; includes an outdated vaccine schedule. Ask the clinic for current guidance.Open PDF ↗Baby Oral Health Handout2018 AAP publisher original; preserved without a clinic revision stamp.Open PDF ↗

EPSDT parent and staff visit packets

Choose the matching age. Each two-page packet includes instructions and a clinical sheet. Complete only the designated parent portions and bring both pages; clinical sections are for staff. Do not submit private information through this website.

Pediatric well-visit handouts

Age-based anticipatory guidance for infants, children, adolescents, and their families.

Medicare & advance care planning

Download the Tennessee advance care planning discussion packet. The older Medicare handbook remains an archived reference; confirm current benefits at Medicare.gov.

Advance Care Planning Discussion Packet — TennesseeClinic guide revised November 1, 2026; includes Tennessee advance directive and blank POST. Clinician review and required signatures are necessary; this packet alone does not create medical orders.Open PDF ↗Medicare & You Handbook2022 edition—archived and not current benefit guidance.Open PDF ↗

From the practice

Plain-language guides from Dr. Burress

Short, clinically reviewed explanations of the questions patients and families ask most often.

Visit the health blog

MedicareWellness visit or annual physical?→Care navigationOffice, urgent care, or ER?→New patientsYour first-visit checklist→