Patient Packets


If you would like us to partner with you in restoring or maintaining excellent health, please contact us for an Initial Consultation Appointment by calling 615-338-0123.



To become established as a patient, each patient must complete our new patient information packet.


For children ages 12 and under, please download and compete the Child Health Packet. For adults and children over the age of 12 years, please download and complete the Adult Health Packet.



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Click on packets below.



Adult Health Packet


Child Health Packet



Please fax the completed forms to 615-338-0553 or scan and e-mail to help4you@restoreyou.net