For your convenience, you can now access Patient Registration forms here.
Should you wish to download these forms, fill them out and bring with you to your appointment, please click the links below:
(*Adobe Acrobat Reader 6.0 or higher is required to view these documents,click the icon to download Adobe Acrobat Reader .)
Medical Questionnaire Information Form
Patient Authorization
Downtown Clinic
Mark E. Cooper, M.D.
C. Louis Garrard, III, M.D.
John E. Keyser, III, M.D.
Himalaya E. Lele, M.D.
George B. Lynch, M.D.
James McDowell, M.D.
William H. Polk, Jr., M.D.
John R. Roberts, M.D., MBA
Mark E. Rosen, D.O
Patrick C. Ryan, M.D.
Lebanon Clinic
Alex Brent Fruin, M.D.
Skyline Clinic
Bassam N. Helou, M.D.
Gregory E. Neal, M.D.
Summit Clinic
John A. Boskind, M.D.
Alex Brent Fruin, M.D.
Michael C. Thomas, M.D.
St. Thomas Clinic
Roger A. Bonau, M.D.
William H. Edwards, Jr., M.D.
Jim Bob Faulk, M.D.
Richard J. Geer, M.D.
Himalaya E. Lele, M.D.
Clinton A. Marlar, M.D.
Raymond S. Martin, III, M.D.
Joseph L. Mulherin, Jr., M.D.
Stanley O. Snyder, Jr., M.D.
K. Tyson Thomas, M.D.
Leonard James Wudel, Jr., M.D.