Patient Forms
Welcome to the Patient Forms download page for Smoky Mountain OB/GYN. The forms listed below are here for your convenience and intended to make the new patient registration process quicker and easier for you.
The files listed are in Adobe .PDF and is a common extension on most computers. However, if you do not have this application on your computer you may download it for free from Adobe's web site. Each form listed can be printed from your local computer and should be returned to Smoky Mountain OB/GYN as soon as possible.
- New Patient Forms
- New Patient Records Release Form
- Family History (Please check off disease and who has it)
- Review of Systems (Please check off your current symptoms)
- Privacy Policy
For health plan participation and other Insurance and Billing questions, please visit our Insurance & Billing page.
Patient Testimonials
"Everyone here is so awesome, I have had such a great experience, and would recommend anyone needing OB help to come here!"
"Rebecca is awesome, I didn't feel it at all when she drew my blood! Thank You!" (E.P.)
"Smoky MTN Staff is AWESOME!!!" (C.S.)
"Love this place :)" (T.S.)
"Anne Karner was excellent - so thourough with me and answered ALL my questions. She made my first visit here a great one, Thanks."
In the News
- Ground Breaking on our New Office!Watch for the bulldozers in the next week or two! Smoky Mountain News Article ...read full story
- Online Bill Pay Now Available!Pay your bills the easy way! Secure and safe; we now accept online payments. You can ...read full story