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MyHealthSpot Patient Portal

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342 Frey Street, Ashland City, TN 37015 ph 615-792-1199 fax 615-792-9331
new adult
New Patient Registration Forms
New patients should complete the following forms in their entirety:
New Patient Registration Forms (Children under 18)
Family Assistance Plan - information & application
new child
Patients under the age of 18 should have the following forms completed in their entirety by a parent or guardian:
Family Assistance Plan (for uninsured patients)
sliding fee scale
privacy
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