Search Options
ETSU Faculty/Staff
ETSU Students
ETSU People Search
New Patients


New patients will have some additional paperwork to complete, so we have included some of the documents here. We hope this will help expedite our check-in process and create less wait times for you. There are three  forms that need to be completed for your appointment, they are a HIPAA (Privacy Policy), Medical History, and Patient Information Sheet. Please bring these  to your first visit, they will not be needed in the future unless there are changes. If you have any questions about the documents please feel to Contact Us. Thank you in advance for your help in making these appointments a smoother experience.

Medical History

Medical History Form (docx) 

This can be easily filled out in Microsoft Word                                                                      

Patient Information Form Protected

Patient Information Form (docx)

This can be easily filled out in Microsoft Word

HIPPA Protected

HIPAA Form (docx)

This form must be printed and filled in by hand.

Privacy Policy Protected

Privacy Policy (docx)

This document is for your information and does NOT need to be turned in.

direct edit