Dear New Patient,
Welcome! I am looking forward to serving your psychiatric needs, and I hope to see you in the office soon. For those of you wishing to schedule a first-time appointment, please follow the five-step procedure outlined below. If at any time you have questions or complications feel free to give my staff a call at (615) 224-9800.
Step One: New Patient Information Data Form Please download (this may take a few minutes) and complete the New Patient Information Data Form. (Bring this completed form with you to the first appointment.)
Step Two: Scheduling an Appointment Call the office at (615) 224-9800 and my staff will schedule you for your initial evaluation. You will be asked to provide the insurance information from Step One. Prior to this call you may wish to save time by FAXing or emailing this information to our office staff at (615) 224-9840. They will be able to review the information and facilitate the appointment scheduling.
Step Three: History Questionnaire Please download (this may take a few minutes) and complete the History Questionnaire form. (Bring this completed form with you to the first appointment.)
Step Four: HIPAA Privacy Information and HIPAA Privacy Signature Form
First Read our HIPAA Privacy Rule then download and Sign our HIPAA Privacy Rule Signature Page. (Bring this completed form with you to the first appointment.)
Step Five: Patient Consent Authorizing Communication to Another Provider / Entity
If you would like Dr. Bell or Theresa Monroe to communicate with your other health care provider(s) then you will need to download this form and complete prior to your appointment. (Bring this completed form with you to the first appointment.)
That's it. I hope this was a fairly painless (yet thorough) process. If you have any further questions please give my staff a call. Otherwise, I'll see you at your appointment, soon.