Primehealth Medical Center, P.C.
Primehealth Medical Center, P.C.

Patient Forms

Want to save time during your visit with us? Please print and fill out the following forms and bring with you on your first appointment.

NEW PATIENT REGISTRATION FORMS
Forms for all new patients to Practice
NEW-PT-REGISTRATION-FORM.pdf
Adobe Acrobat document [184.1 KB]
NEW PATIENT CHECKLIST & WEBVIEW PT PORTAL REGISTRATION
Instructions for new patients office registration process and webview registration
New Patient Checklist-WebView.pdf
Adobe Acrobat document [195.5 KB]
Suboxone Clinic New Patient Forms
Welcome to our practice. These forms do take time to complete. Kindly fill out prior to arrival in office for your first visit. This significantly shortens your registration time.
Your journey to well being has started !!
PMC Suboxone Clinic Registration Forms.p[...]
Adobe Acrobat document [10.3 MB]
NAABT Suboxone Patient Brochure
naabt_brochure Version 2.pdf
Adobe Acrobat document [193.6 KB]
Typical Suboxone Treatment Pathway
Buprenophine pathway.pdf
Adobe Acrobat document [717.4 KB]
CHANGE OF INFORMATION
PATIENT UPDATE OF INFORMATION
CHANGE OF INFORMATION FORM.pdf
Adobe Acrobat document [39.6 KB]
OFFICE POLICIES TO INCLUDE PRIVACY NOTICE
General Office Policies for Patient Information
Office Policies.doc
Microsoft Word document [298.0 KB]
MEDICAL RECORDS RELEASE FORM
Medical Records Release Authorization Form
MEDICAL RELEASE FORM.pdf
Adobe Acrobat document [93.2 KB]

Don't forget to bring your insurance information with you

In order to register and treat you promptly, we request that our patients bring their current insurance information with them for each visit.

We accept most types of health insurance. Please contact us for further details.

Important telephone numbers for in case of emergencies:

Organization Telephone Number
Emergency Services & Fire Department 911
Centers for Disease Control and Prevention 800-CDC-INFO (800-232-4636)
   
   

Schedule an Appointment

Primehealth Medical Center, P.C.

6637 Summer Knoll Cir

Suite 101

Memphis, TN 38134

 

Ph +1 901 3725260

Fx +1 901 3868726

patients@primehealthclinic.com

 

Or use our contact form.

Office Hours

We are open during the following hours:

Monday to Friday 8am - 5pm


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© Primehealth Medical Center, P.C.