New Patient Forms

Patients of William Permenter, M.D. or Paul Koerner, M.D. please complete these forms prior to your appointment to save time:
Financial Policy

HIPAA Notice of Privacy Practice

Patient Questionnaire

Patient Registration

Authorization for Use or Disclosure of Health Information

CT Disclosure

Patients of Junfeng Wang, M.D.; Linda Smiley, M.D. or Vicki Gatlin, A.P.N. please complete these forms prior to your appointment to save time:
TWC New Patient Paperwork