If you are coming in to the office soon for your first visit, you can fill out the following forms online to to save yourself some time.

Initial visit
On your initial visit you will be asked to provide a medical and surgical history, including all medications you are currently taking (prescribed medication as well as over the counter). You should be aware of the dosage as well as the names.

You should bring any previous medical records or test results that may be helpful in your care. Our receptionist will assist you in obtaining any x-ray or reports. They will need the name of the facility where the procedure was performed.

You will also need to bring your insurance card and information if your insurance has specific requirements. (i.e. second surgical opinion, pre-certification for hospitalization).

“No Shows” and late cancellations inconvenience those individuals who are in need of medical treatment. In order to be respectful of the needs of other patients, please call our office promptly if you need to cancel or reschedule your appointment. We require that you call at least 4 hours in advance.

Failure to give a 4 hour advance cancellation or being a “No Show” will result in a non-refundable charge of a $25.00.

Prescription and Refills
It is best to call for prescriptions and refills during office hours. This allows us to review your chart for allergies and accuracy. If an emergency occurs after hours make sure you have your medication name, dosage and your pharmacy number available. We can only prescribe medications for patients who are actively in our care.

The responsibility of payment of bills rests with the patient. Today, many insurance companies require managed care including pre-authorization, second surgical opinions and limitations on hospital days. We ask you to assume responsibility for informing our patient representative if your coverage has any of these requirements. If your health care is managed by an HMO or a PPO, you may need a special referral letter.

Because insurances are constantly changing, please call your insurance office to make sure we are still affiliated with your company. Along the same line, if you do not see your insurance listed on our site, call to see if we have added your insurance to our list of affiliates.

Insurance affiliation

  • Medicare TN and MO
  • Medicaid MO
  • Baptist & Physicians Baptist Health Services Group IDS
  • CIGNA, HMO's and PPO's
  • MetroCare
  • Health Choice
  • PHCS (Private Health Care Systems)
  • Blue Cross Blue Shield TN
  • United Health Care TN
  • Champus/Tricare
  • All Private Insurances

Hospital Affilations

Baptist Memorial Hospital
East 6019 Walnut Grove Road
Memphis, TN 38120
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Baptist Memorial Hospital DeSoto
7601 Southcrest Pkwy
Southaven, MS 38671
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Methodist Hospital
7691 Poplar Avenue
Germantown, TN 38138
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St. Francis Hospital
5959 Park Avenue
Memphis, TN 38119-5198
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Pemiscot Memorial Health Systems
907 East Reed Street
Hayti, MO 63851
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St Francis Hospital Bartlett
2986 Kate Bond Rd.
Bartlett, TN 38133
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Surgery Centers

80 Humphreys Center, Suite 310
Memphis, TN 38120
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Saint Francis Surgery Center
5999 Park Avenue
Memphis, TN 38119
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Wolf River Surgery Center
1325 Wolf Park Drive
Germantown, TN 38138
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Tri State Advanced Surgery Center
2596 I-55
Marion, AR 72364
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