ALL PATIENT INFORMATION
We are working on an online secure HIPAA (Health Insurance Portability and Accountability Act) compliant form submission for the Telehealth information on our website. During the interim we have put our forms online in pdf format. If the form requires your information and signature you can download the form, print it, fill out the information and fax it to our office at 423-722-3401. We do require payment before we provide Telehealth services. For pricing and payment approval please download the Provide Payment Information Using The Telehealth Form below.
You can view and download any of the documents by clicking on the underlined links below.
ESTABLISHED PATIENTS ONLY
NEW PATIENTS ONLY
To start a Telehealth call with Matthew Caffrey, M.D or Lisa Caffrey, Ph.D you will need to ensure we have all the appropriate forms in our office and we have received payment using (using a credit or debit card) prior to your appointment if you DO NOT have insurance that we accept.