Phone: 270-563-2084
Fax: 270-563-2085
WELCOME
In order to streamline your first visit, we have provided access to new patient paperwork right here. You can fill it out in the convenience of your own home! After that, either bring it with you to your appointment, email it to us (smithsgrovept@gmail.com), or send it via text to our office cell phone (727-355-0587).
You are still welcome to fill out your paperwork in-clinic, we just ask you plan to arrive around 15-20 minutes early in order to do so. If you are nearby prior to your appointment day, and would like to pick up a copy to fill out, just drop by the clinic and we will be happy to provide a copy for you to take with you!
PAPERWORK
This is for all new patients coming in for their first appointment with SGPT.
In addition to the patient info paperwork above, we ask that Medicare patients fill out this form. This is specifically for the patient that has a primary and a secondary insurance (one insurance being Medicare). This will help us determine which insurance should be billed as primary.