Are you over 18 and want to see adult content?
More Annotations
kshowsubindo.org - Download Drama Korea,Drama China, Drama taiwan dan Variety Show Terbaru Subtitle Indonesia.
Are you over 18 and want to see adult content?
1001 Travel Tips: Travel tips, itineraries, wine tourism and +!
Are you over 18 and want to see adult content?
Edubridge Consultants Limited - IT Consultancy Company | Web Development Services
Are you over 18 and want to see adult content?
Tuan and Robinson Structural Engineers, Inc. | Tuan and Robinson Structural Engineers, Inc.
Are you over 18 and want to see adult content?
Varmepumper, ventilasjon, aircondition, radonmåling, luftkvalitet | GCMM Varmepumper
Are you over 18 and want to see adult content?
Favourite Annotations
A complete backup of https://claire.co.uk
Are you over 18 and want to see adult content?
A complete backup of https://free.date
Are you over 18 and want to see adult content?
A complete backup of https://mesovision.com
Are you over 18 and want to see adult content?
A complete backup of https://gget.com
Are you over 18 and want to see adult content?
A complete backup of https://arabfm.net
Are you over 18 and want to see adult content?
A complete backup of https://nssarchive.us
Are you over 18 and want to see adult content?
A complete backup of https://jcronline.org
Are you over 18 and want to see adult content?
A complete backup of https://runiround.com
Are you over 18 and want to see adult content?
A complete backup of https://mcauliffs.com
Are you over 18 and want to see adult content?
A complete backup of https://lmsin.com
Are you over 18 and want to see adult content?
A complete backup of https://vdwyaeaavb.ga
Are you over 18 and want to see adult content?
A complete backup of https://galparts.co.il
Are you over 18 and want to see adult content?
Text
TN 37205
MEDICAL PARTNERS SAINT THOMAS Saint Thomas Medical Partners is committed to providing you the highest quality medical care. To achieve this goal we ask you to be an active participant in your healthcare decisions. HMG PATIENT CONSENT AND AUTHORIZATION 4777 Andrew Jackson Parkway Hermitage, TN 37076 615-889-1951 Patient Consent and Authorization Form IMPORTANT: Please Read Before Signing AUTHORIZATION AND CONSENT FOR MEDICAL TREATMENT: I hereby authorizeHermitage Medical
PHYSICIAN WHO SENT YOU HERE: NAME: Title: Microsoft Word - New Patient Form McCain revamped.doc Author: Colton Mulligan Created Date: 1/24/2012 3:28:24 PMHENDERSONVILLE
65 65 65 65 65 24 24 24 24 24 24 V i e t n a m V et rans Blvd C h a r l o t e A v e D i c k e r s o n P ik e D i c k e r s o n R d E l l in g t o n P k w y G a l l a HEALTHCARE | ASCENSION Lucy Ledbetter, MD Anthony Casamo, PA-C Robin Gilmore, MD Lindsey Mangum, PA-C Tennessee Neurology Specialists—Columbia 927 N. James Campbell Blvd. Ste 105 PROVIDER NAME SATISFACTION MEASURE NAME PERCENTAGE NCQA PCMH Accelerator Program (2014 Standards) Provider Name Satisfaction Percentage Measure Name Angela Beard, NP 49% PCMH: Use certified EHR technology to identify and provide patient specificYOUR CARE CENTER
ST. THOMAS MEDICAL PARTNERS - NASHVILLE Monday–Friday 8 a.m.–5 p.m. Nashville 300 20th Ave. N., 7th-9th FL, Nashville, TN 37201 • P 615.284.1400 (For after-hour care, call 615.284.2015 ) ST. THOMAS MEDICAL PARTNERS - EXPRESS CARE No Appointment Necessary “HOW TO” PATIENT PORTAL “HOW TO” PATIENT PORTAL To create a new Patient Portal account 1. Click the link from the Patient Portal email invitation to find the Verify Your Identity page. NEW PATIENT WELCOME PACKET New Patient Welcome Information Womenʼs Health Specialists of Middle TN Dr. Kristina McCain 4323 Carothers Parkway Suite 308 Franklin, TN 37067 615-565-6872 ** SLEEP MEDICINE OF MIDDLE TENNESSEE SAINT THOMAS WEST Sleep Medicine of Middle Tennessee Saint Thomas West Hospital Office 4230 Harding Road, Suite 530 – Heart Institute Building Nashville,TN 37205
MEDICAL PARTNERS SAINT THOMAS Saint Thomas Medical Partners is committed to providing you the highest quality medical care. To achieve this goal we ask you to be an active participant in your healthcare decisions. HMG PATIENT CONSENT AND AUTHORIZATION 4777 Andrew Jackson Parkway Hermitage, TN 37076 615-889-1951 Patient Consent and Authorization Form IMPORTANT: Please Read Before Signing AUTHORIZATION AND CONSENT FOR MEDICAL TREATMENT: I hereby authorizeHermitage Medical
PHYSICIAN WHO SENT YOU HERE: NAME: Title: Microsoft Word - New Patient Form McCain revamped.doc Author: Colton Mulligan Created Date: 1/24/2012 3:28:24 PMHENDERSONVILLE
65 65 65 65 65 24 24 24 24 24 24 V i e t n a m V et rans Blvd C h a r l o t e A v e D i c k e r s o n P ik e D i c k e r s o n R d E l l in g t o n P k w y G a l l a HEALTHCARE | ASCENSION Lucy Ledbetter, MD Anthony Casamo, PA-C Robin Gilmore, MD Lindsey Mangum, PA-C Tennessee Neurology Specialists—Columbia 927 N. James Campbell Blvd. Ste 105 PROVIDER NAME SATISFACTION MEASURE NAME PERCENTAGE NCQA PCMH Accelerator Program (2014 Standards) Provider Name Satisfaction Percentage Measure Name Angela Beard, NP 49% PCMH: Use certified EHR technology to identify and provide patient specificYOUR CARE CENTER
ST. THOMAS MEDICAL PARTNERS - NASHVILLE Monday–Friday 8 a.m.–5 p.m. Nashville 300 20th Ave. N., 7th-9th FL, Nashville, TN 37201 • P 615.284.1400 (For after-hour care, call 615.284.2015 ) ST. THOMAS MEDICAL PARTNERS - EXPRESS CARE No Appointment Necessary WELCOME TO SAINT THOMAS MEDICAL PARTNERS NEUROLOGY-WEST Robert J. Fallis, M.D. • Brett Parker, M.D. • Colleen B. Vanderkolk, D.O. Welcome to Saint Thomas Medical Partners Neurology-West. Please review this packet DR. OSCAR MENDEZ WELCOME TO SAINT THOMAS MEDICAL PARTNERS EPWORTH SLEEPINESS SCALE Use the following scale to choose the most appropriate number for each situation: 0= would never doze or sleep 1= slight chance of dozing or sleeping 2=moderate chance of dozing or sleeping 3=high chance of dozing or sleeping SITUATION CHANCE OFDOZING OR SLEEPING
NP PACKET WEST
Medications (include vitamins and supplements) Dose Frequency How long 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Allergies ReactionHENDERSONVILLE
65 65 65 65 65 24 24 24 24 24 24 V i e t n a m V et rans Blvd C h a r l o t e A v e D i c k e r s o n P ik e D i c k e r s o n R d E l l in g t o n P k w y G a l l a SLEEP MEDICINE OF MIDDLE TENNESSEE SAINT THOMAS WEST Sleep Medicine of Middle Tennessee Saint Thomas West Hospital Office 4230 Harding Road, Suite 530 – Heart Institute Building Nashville,TN 37205
NOTICE OF PRIVACY PRACTICES WE MAY USE OR DISCLOSE YOUR HEALTH INFORMATION FOR PAYMENT. For example, we may send a bill to you or a third-party payer. The information on or accompanying the TENNESSEE NEUROLOGY SPECIALISTS TENNESSEE NEUROLOGY SPECIALISTS . AT RIVER PARK HOSPITAL . E. Frank Lafranchise, M.D. River Park Hospital . 1589 Sparta Rd Ste. 205 . McMinnville, TN 37110 HEALTHCARE | ASCENSION Lucy Ledbetter, MD Anthony Casamo, PA-C Robin Gilmore, MD Lindsey Mangum, PA-C Tennessee Neurology Specialists—Columbia 927 N. James Campbell Blvd. Ste 105 PATIENT APPOINTMENT: APPOINTMENT LINE: 615.284 DIRECTIONS TO OUR OFFICE (CONTINUED FROM FRONT) Follow Church Street to: 20th Ave N. and turn right. Saint Thomas Midtown Hospital will beon the left.
HMG AUTHORIZATION FOR USE AND DISCLOSURE 4777 Andrew Jackson Parkway, Hermitage, TN 37076 Patient Authorization for Use and Disclosure of Protected Health Information 1. By signing this Authorization, I authorize Hermitage Medical Group to disclose protected health information to the following individual(s) for the purpose of keeping them informed about my condition and treatment, and I understand that these “HOW TO” PATIENT PORTAL “HOW TO” PATIENT PORTAL To create a new Patient Portal account 1. Click the link from the Patient Portal email invitation to find the Verify Your Identity page. NEW PATIENT WELCOME PACKET New Patient Welcome Information Womenʼs Health Specialists of Middle TN Dr. Kristina McCain 4323 Carothers Parkway Suite 308 Franklin, TN 37067 615-565-6872 ** SLEEP MEDICINE OF MIDDLE TENNESSEE SAINT THOMAS WEST Sleep Medicine of Middle Tennessee Saint Thomas West Hospital Office 4230 Harding Road, Suite 530 – Heart Institute Building Nashville,TN 37205
HMG PATIENT CONSENT AND AUTHORIZATION 4777 Andrew Jackson Parkway Hermitage, TN 37076 615-889-1951 Patient Consent and Authorization Form IMPORTANT: Please Read Before Signing AUTHORIZATION AND CONSENT FOR MEDICAL TREATMENT: I hereby authorizeHermitage Medical
PHYSICIAN WHO SENT YOU HERE: NAME: Title: Microsoft Word - New Patient Form McCain revamped.doc Author: Colton Mulligan Created Date: 1/24/2012 3:28:24 PM MEDICAL PARTNERS SAINT THOMAS Saint Thomas Medical Partners is committed to providing you the highest quality medical care. To achieve this goal we ask you to be an active participant in your healthcare decisions. HEALTHCARE | ASCENSION Lucy Ledbetter, MD Anthony Casamo, PA-C Robin Gilmore, MD Lindsey Mangum, PA-C Tennessee Neurology Specialists—Columbia 927 N. James Campbell Blvd. Ste 105HENDERSONVILLE
65 65 65 65 65 24 24 24 24 24 24 V i e t n a m V et rans Blvd C h a r l o t e A v e D i c k e r s o n P ik e D i c k e r s o n R d E l l in g t o n P k w y G a l l aYOUR CARE CENTER
ST. THOMAS MEDICAL PARTNERS - NASHVILLE Monday–Friday 8 a.m.–5 p.m. Nashville 300 20th Ave. N., 7th-9th FL, Nashville, TN 37201 • P 615.284.1400 (For after-hour care, call 615.284.2015 ) ST. THOMAS MEDICAL PARTNERS - EXPRESS CARE No Appointment Necessary PROVIDER NAME SATISFACTION MEASURE NAME PERCENTAGE NCQA PCMH Accelerator Program (2014 Standards) Provider Name Satisfaction Percentage Measure Name Angela Beard, NP 49% PCMH: Use certified EHR technology to identify and provide patient specific “HOW TO” PATIENT PORTAL “HOW TO” PATIENT PORTAL To create a new Patient Portal account 1. Click the link from the Patient Portal email invitation to find the Verify Your Identity page. NEW PATIENT WELCOME PACKET New Patient Welcome Information Womenʼs Health Specialists of Middle TN Dr. Kristina McCain 4323 Carothers Parkway Suite 308 Franklin, TN 37067 615-565-6872 ** SLEEP MEDICINE OF MIDDLE TENNESSEE SAINT THOMAS WEST Sleep Medicine of Middle Tennessee Saint Thomas West Hospital Office 4230 Harding Road, Suite 530 – Heart Institute Building Nashville,TN 37205
HMG PATIENT CONSENT AND AUTHORIZATION 4777 Andrew Jackson Parkway Hermitage, TN 37076 615-889-1951 Patient Consent and Authorization Form IMPORTANT: Please Read Before Signing AUTHORIZATION AND CONSENT FOR MEDICAL TREATMENT: I hereby authorizeHermitage Medical
PHYSICIAN WHO SENT YOU HERE: NAME: Title: Microsoft Word - New Patient Form McCain revamped.doc Author: Colton Mulligan Created Date: 1/24/2012 3:28:24 PM MEDICAL PARTNERS SAINT THOMAS Saint Thomas Medical Partners is committed to providing you the highest quality medical care. To achieve this goal we ask you to be an active participant in your healthcare decisions. HEALTHCARE | ASCENSION Lucy Ledbetter, MD Anthony Casamo, PA-C Robin Gilmore, MD Lindsey Mangum, PA-C Tennessee Neurology Specialists—Columbia 927 N. James Campbell Blvd. Ste 105HENDERSONVILLE
65 65 65 65 65 24 24 24 24 24 24 V i e t n a m V et rans Blvd C h a r l o t e A v e D i c k e r s o n P ik e D i c k e r s o n R d E l l in g t o n P k w y G a l l aYOUR CARE CENTER
ST. THOMAS MEDICAL PARTNERS - NASHVILLE Monday–Friday 8 a.m.–5 p.m. Nashville 300 20th Ave. N., 7th-9th FL, Nashville, TN 37201 • P 615.284.1400 (For after-hour care, call 615.284.2015 ) ST. THOMAS MEDICAL PARTNERS - EXPRESS CARE No Appointment Necessary PROVIDER NAME SATISFACTION MEASURE NAME PERCENTAGE NCQA PCMH Accelerator Program (2014 Standards) Provider Name Satisfaction Percentage Measure Name Angela Beard, NP 49% PCMH: Use certified EHR technology to identify and provide patient specific WELCOME TO SAINT THOMAS MEDICAL PARTNERS NEUROLOGY-WEST Robert J. Fallis, M.D. • Brett Parker, M.D. • Colleen B. Vanderkolk, D.O. Welcome to Saint Thomas Medical Partners Neurology-West. Please review this packet DR. OSCAR MENDEZ WELCOME TO SAINT THOMAS MEDICAL PARTNERS EPWORTH SLEEPINESS SCALE Use the following scale to choose the most appropriate number for each situation: 0= would never doze or sleep 1= slight chance of dozing or sleeping 2=moderate chance of dozing or sleeping 3=high chance of dozing or sleeping SITUATION CHANCE OFDOZING OR SLEEPING
NP PACKET WEST
Medications (include vitamins and supplements) Dose Frequency How long 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Allergies ReactionHENDERSONVILLE
65 65 65 65 65 24 24 24 24 24 24 V i e t n a m V et rans Blvd C h a r l o t e A v e D i c k e r s o n P ik e D i c k e r s o n R d E l l in g t o n P k w y G a l l a SLEEP MEDICINE OF MIDDLE TENNESSEE SAINT THOMAS WEST Sleep Medicine of Middle Tennessee Saint Thomas West Hospital Office 4230 Harding Road, Suite 530 – Heart Institute Building Nashville,TN 37205
NOTICE OF PRIVACY PRACTICES WE MAY USE OR DISCLOSE YOUR HEALTH INFORMATION FOR PAYMENT. For example, we may send a bill to you or a third-party payer. The information on or accompanying the TENNESSEE NEUROLOGY SPECIALISTS TENNESSEE NEUROLOGY SPECIALISTS . AT RIVER PARK HOSPITAL . E. Frank Lafranchise, M.D. River Park Hospital . 1589 Sparta Rd Ste. 205 . McMinnville, TN 37110 HEALTHCARE | ASCENSION Lucy Ledbetter, MD Anthony Casamo, PA-C Robin Gilmore, MD Lindsey Mangum, PA-C Tennessee Neurology Specialists—Columbia 927 N. James Campbell Blvd. Ste 105 PATIENT APPOINTMENT: APPOINTMENT LINE: 615.284 DIRECTIONS TO OUR OFFICE (CONTINUED FROM FRONT) Follow Church Street to: 20th Ave N. and turn right. Saint Thomas Midtown Hospital will beon the left.
HMG AUTHORIZATION FOR USE AND DISCLOSURE 4777 Andrew Jackson Parkway, Hermitage, TN 37076 Patient Authorization for Use and Disclosure of Protected Health Information 1. By signing this Authorization, I authorize Hermitage Medical Group to disclose protected health information to the following individual(s) for the purpose of keeping them informed about my condition and treatment, and I understand that these “HOW TO” PATIENT PORTAL “HOW TO” PATIENT PORTAL To create a new Patient Portal account 1. Click the link from the Patient Portal email invitation to find the Verify Your Identity page. NEW PATIENT WELCOME PACKET New Patient Welcome Information Womenʼs Health Specialists of Middle TN Dr. Kristina McCain 4323 Carothers Parkway Suite 308 Franklin, TN 37067 615-565-6872 ** SLEEP MEDICINE OF MIDDLE TENNESSEE SAINT THOMAS WEST Sleep Medicine of Middle Tennessee Saint Thomas West Hospital Office 4230 Harding Road, Suite 530 – Heart Institute Building Nashville,TN 37205
HMG PATIENT CONSENT AND AUTHORIZATION 4777 Andrew Jackson Parkway Hermitage, TN 37076 615-889-1951 Patient Consent and Authorization Form IMPORTANT: Please Read Before Signing AUTHORIZATION AND CONSENT FOR MEDICAL TREATMENT: I hereby authorizeHermitage Medical
PHYSICIAN WHO SENT YOU HERE: NAME: Title: Microsoft Word - New Patient Form McCain revamped.doc Author: Colton Mulligan Created Date: 1/24/2012 3:28:24 PM MEDICAL PARTNERS SAINT THOMAS Saint Thomas Medical Partners is committed to providing you the highest quality medical care. To achieve this goal we ask you to be an active participant in your healthcare decisions. HEALTHCARE | ASCENSION Lucy Ledbetter, MD Anthony Casamo, PA-C Robin Gilmore, MD Lindsey Mangum, PA-C Tennessee Neurology Specialists—Columbia 927 N. James Campbell Blvd. Ste 105HENDERSONVILLE
65 65 65 65 65 24 24 24 24 24 24 V i e t n a m V et rans Blvd C h a r l o t e A v e D i c k e r s o n P ik e D i c k e r s o n R d E l l in g t o n P k w y G a l l aYOUR CARE CENTER
ST. THOMAS MEDICAL PARTNERS - NASHVILLE Monday–Friday 8 a.m.–5 p.m. Nashville 300 20th Ave. N., 7th-9th FL, Nashville, TN 37201 • P 615.284.1400 (For after-hour care, call 615.284.2015 ) ST. THOMAS MEDICAL PARTNERS - EXPRESS CARE No Appointment Necessary PROVIDER NAME SATISFACTION MEASURE NAME PERCENTAGE NCQA PCMH Accelerator Program (2014 Standards) Provider Name Satisfaction Percentage Measure Name Angela Beard, NP 49% PCMH: Use certified EHR technology to identify and provide patient specific “HOW TO” PATIENT PORTAL “HOW TO” PATIENT PORTAL To create a new Patient Portal account 1. Click the link from the Patient Portal email invitation to find the Verify Your Identity page. NEW PATIENT WELCOME PACKET New Patient Welcome Information Womenʼs Health Specialists of Middle TN Dr. Kristina McCain 4323 Carothers Parkway Suite 308 Franklin, TN 37067 615-565-6872 ** SLEEP MEDICINE OF MIDDLE TENNESSEE SAINT THOMAS WEST Sleep Medicine of Middle Tennessee Saint Thomas West Hospital Office 4230 Harding Road, Suite 530 – Heart Institute Building Nashville,TN 37205
HMG PATIENT CONSENT AND AUTHORIZATION 4777 Andrew Jackson Parkway Hermitage, TN 37076 615-889-1951 Patient Consent and Authorization Form IMPORTANT: Please Read Before Signing AUTHORIZATION AND CONSENT FOR MEDICAL TREATMENT: I hereby authorizeHermitage Medical
PHYSICIAN WHO SENT YOU HERE: NAME: Title: Microsoft Word - New Patient Form McCain revamped.doc Author: Colton Mulligan Created Date: 1/24/2012 3:28:24 PM MEDICAL PARTNERS SAINT THOMAS Saint Thomas Medical Partners is committed to providing you the highest quality medical care. To achieve this goal we ask you to be an active participant in your healthcare decisions. HEALTHCARE | ASCENSION Lucy Ledbetter, MD Anthony Casamo, PA-C Robin Gilmore, MD Lindsey Mangum, PA-C Tennessee Neurology Specialists—Columbia 927 N. James Campbell Blvd. Ste 105HENDERSONVILLE
65 65 65 65 65 24 24 24 24 24 24 V i e t n a m V et rans Blvd C h a r l o t e A v e D i c k e r s o n P ik e D i c k e r s o n R d E l l in g t o n P k w y G a l l aYOUR CARE CENTER
ST. THOMAS MEDICAL PARTNERS - NASHVILLE Monday–Friday 8 a.m.–5 p.m. Nashville 300 20th Ave. N., 7th-9th FL, Nashville, TN 37201 • P 615.284.1400 (For after-hour care, call 615.284.2015 ) ST. THOMAS MEDICAL PARTNERS - EXPRESS CARE No Appointment Necessary PROVIDER NAME SATISFACTION MEASURE NAME PERCENTAGE NCQA PCMH Accelerator Program (2014 Standards) Provider Name Satisfaction Percentage Measure Name Angela Beard, NP 49% PCMH: Use certified EHR technology to identify and provide patient specific WELCOME TO SAINT THOMAS MEDICAL PARTNERS NEUROLOGY-WEST Robert J. Fallis, M.D. • Brett Parker, M.D. • Colleen B. Vanderkolk, D.O. Welcome to Saint Thomas Medical Partners Neurology-West. Please review this packet DR. OSCAR MENDEZ WELCOME TO SAINT THOMAS MEDICAL PARTNERS EPWORTH SLEEPINESS SCALE Use the following scale to choose the most appropriate number for each situation: 0= would never doze or sleep 1= slight chance of dozing or sleeping 2=moderate chance of dozing or sleeping 3=high chance of dozing or sleeping SITUATION CHANCE OFDOZING OR SLEEPING
NP PACKET WEST
Medications (include vitamins and supplements) Dose Frequency How long 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Allergies ReactionHENDERSONVILLE
65 65 65 65 65 24 24 24 24 24 24 V i e t n a m V et rans Blvd C h a r l o t e A v e D i c k e r s o n P ik e D i c k e r s o n R d E l l in g t o n P k w y G a l l a SLEEP MEDICINE OF MIDDLE TENNESSEE SAINT THOMAS WEST Sleep Medicine of Middle Tennessee Saint Thomas West Hospital Office 4230 Harding Road, Suite 530 – Heart Institute Building Nashville,TN 37205
NOTICE OF PRIVACY PRACTICES WE MAY USE OR DISCLOSE YOUR HEALTH INFORMATION FOR PAYMENT. For example, we may send a bill to you or a third-party payer. The information on or accompanying the TENNESSEE NEUROLOGY SPECIALISTS TENNESSEE NEUROLOGY SPECIALISTS . AT RIVER PARK HOSPITAL . E. Frank Lafranchise, M.D. River Park Hospital . 1589 Sparta Rd Ste. 205 . McMinnville, TN 37110 HEALTHCARE | ASCENSION Lucy Ledbetter, MD Anthony Casamo, PA-C Robin Gilmore, MD Lindsey Mangum, PA-C Tennessee Neurology Specialists—Columbia 927 N. James Campbell Blvd. Ste 105 PATIENT APPOINTMENT: APPOINTMENT LINE: 615.284 DIRECTIONS TO OUR OFFICE (CONTINUED FROM FRONT) Follow Church Street to: 20th Ave N. and turn right. Saint Thomas Midtown Hospital will beon the left.
HMG AUTHORIZATION FOR USE AND DISCLOSURE 4777 Andrew Jackson Parkway, Hermitage, TN 37076 Patient Authorization for Use and Disclosure of Protected Health Information 1. By signing this Authorization, I authorize Hermitage Medical Group to disclose protected health information to the following individual(s) for the purpose of keeping them informed about my condition and treatment, and I understand that these “HOW TO” PATIENT PORTAL “HOW TO” PATIENT PORTAL To create a new Patient Portal account 1. Click the link from the Patient Portal email invitation to find the Verify Your Identity page. NEW PATIENT WELCOME PACKET New Patient Welcome Information Womenʼs Health Specialists of Middle TN Dr. Kristina McCain 4323 Carothers Parkway Suite 308 Franklin, TN 37067 615-565-6872 **NP PACKET WEST
Medications (include vitamins and supplements) Dose Frequency How long 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Allergies Reaction SLEEP MEDICINE OF MIDDLE TENNESSEE SAINT THOMAS WEST Sleep Medicine of Middle Tennessee Saint Thomas West Hospital Office 4230 Harding Road, Suite 530 – Heart Institute Building Nashville,TN 37205
HENDERSONVILLE
65 65 65 65 65 24 24 24 24 24 24 V i e t n a m V et rans Blvd C h a r l o t e A v e D i c k e r s o n P ik e D i c k e r s o n R d E l l in g t o n P k w y G a l l a MEDICAL PARTNERS SAINT THOMAS Saint Thomas Medical Partners is committed to providing you the highest quality medical care. To achieve this goal we ask you to be an active participant in your healthcare decisions.YOUR CARE CENTER
ST. THOMAS MEDICAL PARTNERS - NASHVILLE Monday–Friday 8 a.m.–5 p.m. Nashville 300 20th Ave. N., 7th-9th FL, Nashville, TN 37201 • P 615.284.1400 (For after-hour care, call 615.284.2015 ) ST. THOMAS MEDICAL PARTNERS - EXPRESS CARE No Appointment Necessary PROVIDER NAME SATISFACTION MEASURE NAME PERCENTAGE NCQA PCMH Accelerator Program (2014 Standards) Provider Name Satisfaction Percentage Measure Name Angela Beard, NP 49% PCMH: Use certified EHR technology to identify and provide patient specific WWW.SAINTTHOMASDOCTORS.COM www.saintthomasdoctors.com WWW.SAINTTHOMASDOCTORS.COM Created Date: 4/13/2015 10:38:08 AM “HOW TO” PATIENT PORTAL “HOW TO” PATIENT PORTAL To create a new Patient Portal account 1. Click the link from the Patient Portal email invitation to find the Verify Your Identity page. NEW PATIENT WELCOME PACKET New Patient Welcome Information Womenʼs Health Specialists of Middle TN Dr. Kristina McCain 4323 Carothers Parkway Suite 308 Franklin, TN 37067 615-565-6872 **NP PACKET WEST
Medications (include vitamins and supplements) Dose Frequency How long 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Allergies Reaction SLEEP MEDICINE OF MIDDLE TENNESSEE SAINT THOMAS WEST Sleep Medicine of Middle Tennessee Saint Thomas West Hospital Office 4230 Harding Road, Suite 530 – Heart Institute Building Nashville,TN 37205
HENDERSONVILLE
65 65 65 65 65 24 24 24 24 24 24 V i e t n a m V et rans Blvd C h a r l o t e A v e D i c k e r s o n P ik e D i c k e r s o n R d E l l in g t o n P k w y G a l l a MEDICAL PARTNERS SAINT THOMAS Saint Thomas Medical Partners is committed to providing you the highest quality medical care. To achieve this goal we ask you to be an active participant in your healthcare decisions.YOUR CARE CENTER
ST. THOMAS MEDICAL PARTNERS - NASHVILLE Monday–Friday 8 a.m.–5 p.m. Nashville 300 20th Ave. N., 7th-9th FL, Nashville, TN 37201 • P 615.284.1400 (For after-hour care, call 615.284.2015 ) ST. THOMAS MEDICAL PARTNERS - EXPRESS CARE No Appointment Necessary PROVIDER NAME SATISFACTION MEASURE NAME PERCENTAGE NCQA PCMH Accelerator Program (2014 Standards) Provider Name Satisfaction Percentage Measure Name Angela Beard, NP 49% PCMH: Use certified EHR technology to identify and provide patient specific WWW.SAINTTHOMASDOCTORS.COM www.saintthomasdoctors.com WWW.SAINTTHOMASDOCTORS.COM Created Date: 4/13/2015 10:38:08 AMNP PACKET WEST
Medications (include vitamins and supplements) Dose Frequency How long 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Allergies Reaction WWW.SAINTTHOMASDOCTORS.COM Saint Thomas Medical Partners ASSIGNMENT AND RELEASE: o I hereby assign my insurance benefits to be paid directly to the physician. I understand that I am WELCOME TO SAINT THOMAS MEDICAL PARTNERS NEUROLOGY-WEST Robert J. Fallis, M.D. • Brett Parker, M.D. • Colleen B. Vanderkolk, D.O. Welcome to Saint Thomas Medical Partners Neurology-West. Please review this packetHENDERSONVILLE
65 65 65 65 65 24 24 24 24 24 24 V i e t n a m V et rans Blvd C h a r l o t e A v e D i c k e r s o n P ik e D i c k e r s o n R d E l l in g t o n P k w y G a l l a DR. OSCAR MENDEZ WELCOME TO SAINT THOMAS MEDICAL PARTNERS EPWORTH SLEEPINESS SCALE Use the following scale to choose the most appropriate number for each situation: 0= would never doze or sleep 1= slight chance of dozing or sleeping 2=moderate chance of dozing or sleeping 3=high chance of dozing or sleeping SITUATION CHANCE OFDOZING OR SLEEPING
SAINT THOMAS HEART
Created Date: 12/16/2013 4:30:06 PM REFERRAL REQUEST FORM Referral Request Form . Appointments Also Available By Phone . REFERRING DOCTOR REQUESTED: Dr. Colleen Vanderkolk Dr. Robert Fallis Dr. Brett Parker First Available *Please fax this sheet along with patient demographic, insurance information and any relevant WWW.SAINTTHOMASDOCTORS.COM Created Date: 4/13/2015 10:38:08 AM PATIENT APPOINTMENT: APPOINTMENT LINE: 615.284 DIRECTIONS TO OUR OFFICE (CONTINUED FROM FRONT) Follow Church Street to: 20th Ave N. and turn right. Saint Thomas Midtown Hospital will beon the left.
SAINT THOMAS NEUROLOGY GROUPWEB VIEW 4230 Harding Pike Suite 535-Heart Institute Building. Nashville, TN 37205. 615-222-1251. FAX- 615-222-1244. Michael J. Kaminski, M.D.Robert Fallis, M.D.
“HOW TO” PATIENT PORTAL “HOW TO” PATIENT PORTAL To create a new Patient Portal account 1. Click the link from the Patient Portal email invitation to find the Verify Your Identity page. NEW PATIENT WELCOME PACKET New Patient Welcome Information Womenʼs Health Specialists of Middle TN Dr. Kristina McCain 4323 Carothers Parkway Suite 308 Franklin, TN 37067 615-565-6872 **NP PACKET WEST
Medications (include vitamins and supplements) Dose Frequency How long 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Allergies Reaction SLEEP MEDICINE OF MIDDLE TENNESSEE SAINT THOMAS WEST Sleep Medicine of Middle Tennessee Saint Thomas West Hospital Office 4230 Harding Road, Suite 530 – Heart Institute Building Nashville,TN 37205
HENDERSONVILLE
65 65 65 65 65 24 24 24 24 24 24 V i e t n a m V et rans Blvd C h a r l o t e A v e D i c k e r s o n P ik e D i c k e r s o n R d E l l in g t o n P k w y G a l l a MEDICAL PARTNERS SAINT THOMASMYCARE SAINT THOMAS DOCTORSMYCARE ST THOMASMYCARE PATIENT PORTAL ST THOMASPATIENT PORTAL ST THOMAS WEST END Saint Thomas Medical Partners is committed to providing you the highest quality medical care. To achieve this goal we ask you to be an active participant in your healthcare decisions.YOUR CARE CENTER
ST. THOMAS MEDICAL PARTNERS - NASHVILLE Monday–Friday 8 a.m.–5 p.m. Nashville 300 20th Ave. N., 7th-9th FL, Nashville, TN 37201 • P 615.284.1400 (For after-hour care, call 615.284.2015 ) ST. THOMAS MEDICAL PARTNERS - EXPRESS CARE No Appointment Necessary PROVIDER NAME SATISFACTION MEASURE NAME PERCENTAGE NCQA PCMH Accelerator Program (2014 Standards) Provider Name Satisfaction Percentage Measure Name Angela Beard, NP 49% PCMH: Use certified EHR technology to identify and provide patient specific WWW.SAINTTHOMASDOCTORS.COM www.saintthomasdoctors.com WWW.SAINTTHOMASDOCTORS.COM Created Date: 4/13/2015 10:38:08 AM “HOW TO” PATIENT PORTAL “HOW TO” PATIENT PORTAL To create a new Patient Portal account 1. Click the link from the Patient Portal email invitation to find the Verify Your Identity page. NEW PATIENT WELCOME PACKET New Patient Welcome Information Womenʼs Health Specialists of Middle TN Dr. Kristina McCain 4323 Carothers Parkway Suite 308 Franklin, TN 37067 615-565-6872 **NP PACKET WEST
Medications (include vitamins and supplements) Dose Frequency How long 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Allergies Reaction SLEEP MEDICINE OF MIDDLE TENNESSEE SAINT THOMAS WEST Sleep Medicine of Middle Tennessee Saint Thomas West Hospital Office 4230 Harding Road, Suite 530 – Heart Institute Building Nashville,TN 37205
HENDERSONVILLE
65 65 65 65 65 24 24 24 24 24 24 V i e t n a m V et rans Blvd C h a r l o t e A v e D i c k e r s o n P ik e D i c k e r s o n R d E l l in g t o n P k w y G a l l a MEDICAL PARTNERS SAINT THOMASMYCARE SAINT THOMAS DOCTORSMYCARE ST THOMASMYCARE PATIENT PORTAL ST THOMASPATIENT PORTAL ST THOMAS WEST END Saint Thomas Medical Partners is committed to providing you the highest quality medical care. To achieve this goal we ask you to be an active participant in your healthcare decisions.YOUR CARE CENTER
ST. THOMAS MEDICAL PARTNERS - NASHVILLE Monday–Friday 8 a.m.–5 p.m. Nashville 300 20th Ave. N., 7th-9th FL, Nashville, TN 37201 • P 615.284.1400 (For after-hour care, call 615.284.2015 ) ST. THOMAS MEDICAL PARTNERS - EXPRESS CARE No Appointment Necessary PROVIDER NAME SATISFACTION MEASURE NAME PERCENTAGE NCQA PCMH Accelerator Program (2014 Standards) Provider Name Satisfaction Percentage Measure Name Angela Beard, NP 49% PCMH: Use certified EHR technology to identify and provide patient specific WWW.SAINTTHOMASDOCTORS.COM www.saintthomasdoctors.com WWW.SAINTTHOMASDOCTORS.COM Created Date: 4/13/2015 10:38:08 AMNP PACKET WEST
Medications (include vitamins and supplements) Dose Frequency How long 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Allergies Reaction WWW.SAINTTHOMASDOCTORS.COM Saint Thomas Medical Partners ASSIGNMENT AND RELEASE: o I hereby assign my insurance benefits to be paid directly to the physician. I understand that I am WELCOME TO SAINT THOMAS MEDICAL PARTNERS NEUROLOGY-WEST Robert J. Fallis, M.D. • Brett Parker, M.D. • Colleen B. Vanderkolk, D.O. Welcome to Saint Thomas Medical Partners Neurology-West. Please review this packetHENDERSONVILLE
65 65 65 65 65 24 24 24 24 24 24 V i e t n a m V et rans Blvd C h a r l o t e A v e D i c k e r s o n P ik e D i c k e r s o n R d E l l in g t o n P k w y G a l l a DR. OSCAR MENDEZ WELCOME TO SAINT THOMAS MEDICAL PARTNERS EPWORTH SLEEPINESS SCALE Use the following scale to choose the most appropriate number for each situation: 0= would never doze or sleep 1= slight chance of dozing or sleeping 2=moderate chance of dozing or sleeping 3=high chance of dozing or sleeping SITUATION CHANCE OFDOZING OR SLEEPING
SAINT THOMAS HEART
Created Date: 12/16/2013 4:30:06 PM REFERRAL REQUEST FORM Referral Request Form . Appointments Also Available By Phone . REFERRING DOCTOR REQUESTED: Dr. Colleen Vanderkolk Dr. Robert Fallis Dr. Brett Parker First Available *Please fax this sheet along with patient demographic, insurance information and any relevant WWW.SAINTTHOMASDOCTORS.COM Created Date: 4/13/2015 10:38:08 AM PATIENT APPOINTMENT: APPOINTMENT LINE: 615.284 DIRECTIONS TO OUR OFFICE (CONTINUED FROM FRONT) Follow Church Street to: 20th Ave N. and turn right. Saint Thomas Midtown Hospital will beon the left.
SAINT THOMAS NEUROLOGY GROUPWEB VIEW 4230 Harding Pike Suite 535-Heart Institute Building. Nashville, TN 37205. 615-222-1251. FAX- 615-222-1244. Michael J. Kaminski, M.D.Robert Fallis, M.D.
“HOW TO” PATIENT PORTAL “HOW TO” PATIENT PORTAL To create a new Patient Portal account 1. Click the link from the Patient Portal email invitation to find the Verify Your Identity page. NEW PATIENT WELCOME PACKET New Patient Welcome Information Womenʼs Health Specialists of Middle TN Dr. Kristina McCain 4323 Carothers Parkway Suite 308 Franklin, TN 37067 615-565-6872 **NP PACKET WEST
Medications (include vitamins and supplements) Dose Frequency How long 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Allergies Reaction SLEEP MEDICINE OF MIDDLE TENNESSEE SAINT THOMAS WEST Sleep Medicine of Middle Tennessee Saint Thomas West Hospital Office 4230 Harding Road, Suite 530 – Heart Institute Building Nashville,TN 37205
HENDERSONVILLE
65 65 65 65 65 24 24 24 24 24 24 V i e t n a m V et rans Blvd C h a r l o t e A v e D i c k e r s o n P ik e D i c k e r s o n R d E l l in g t o n P k w y G a l l a MEDICAL PARTNERS SAINT THOMASMYCARE SAINT THOMAS DOCTORSMYCARE ST THOMASMYCARE PATIENT PORTAL ST THOMASPATIENT PORTAL ST THOMAS WEST END Saint Thomas Medical Partners is committed to providing you the highest quality medical care. To achieve this goal we ask you to be an active participant in your healthcare decisions.YOUR CARE CENTER
ST. THOMAS MEDICAL PARTNERS - NASHVILLE Monday–Friday 8 a.m.–5 p.m. Nashville 300 20th Ave. N., 7th-9th FL, Nashville, TN 37201 • P 615.284.1400 (For after-hour care, call 615.284.2015 ) ST. THOMAS MEDICAL PARTNERS - EXPRESS CARE No Appointment Necessary PROVIDER NAME SATISFACTION MEASURE NAME PERCENTAGE NCQA PCMH Accelerator Program (2014 Standards) Provider Name Satisfaction Percentage Measure Name Angela Beard, NP 49% PCMH: Use certified EHR technology to identify and provide patient specific WWW.SAINTTHOMASDOCTORS.COM www.saintthomasdoctors.com WWW.SAINTTHOMASDOCTORS.COM Created Date: 4/13/2015 10:38:08 AM “HOW TO” PATIENT PORTAL “HOW TO” PATIENT PORTAL To create a new Patient Portal account 1. Click the link from the Patient Portal email invitation to find the Verify Your Identity page. NEW PATIENT WELCOME PACKET New Patient Welcome Information Womenʼs Health Specialists of Middle TN Dr. Kristina McCain 4323 Carothers Parkway Suite 308 Franklin, TN 37067 615-565-6872 **NP PACKET WEST
Medications (include vitamins and supplements) Dose Frequency How long 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Allergies Reaction SLEEP MEDICINE OF MIDDLE TENNESSEE SAINT THOMAS WEST Sleep Medicine of Middle Tennessee Saint Thomas West Hospital Office 4230 Harding Road, Suite 530 – Heart Institute Building Nashville,TN 37205
HENDERSONVILLE
65 65 65 65 65 24 24 24 24 24 24 V i e t n a m V et rans Blvd C h a r l o t e A v e D i c k e r s o n P ik e D i c k e r s o n R d E l l in g t o n P k w y G a l l a MEDICAL PARTNERS SAINT THOMASMYCARE SAINT THOMAS DOCTORSMYCARE ST THOMASMYCARE PATIENT PORTAL ST THOMASPATIENT PORTAL ST THOMAS WEST END Saint Thomas Medical Partners is committed to providing you the highest quality medical care. To achieve this goal we ask you to be an active participant in your healthcare decisions.YOUR CARE CENTER
ST. THOMAS MEDICAL PARTNERS - NASHVILLE Monday–Friday 8 a.m.–5 p.m. Nashville 300 20th Ave. N., 7th-9th FL, Nashville, TN 37201 • P 615.284.1400 (For after-hour care, call 615.284.2015 ) ST. THOMAS MEDICAL PARTNERS - EXPRESS CARE No Appointment Necessary PROVIDER NAME SATISFACTION MEASURE NAME PERCENTAGE NCQA PCMH Accelerator Program (2014 Standards) Provider Name Satisfaction Percentage Measure Name Angela Beard, NP 49% PCMH: Use certified EHR technology to identify and provide patient specific WWW.SAINTTHOMASDOCTORS.COM www.saintthomasdoctors.com WWW.SAINTTHOMASDOCTORS.COM Created Date: 4/13/2015 10:38:08 AMNP PACKET WEST
Medications (include vitamins and supplements) Dose Frequency How long 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Allergies Reaction WWW.SAINTTHOMASDOCTORS.COM Saint Thomas Medical Partners ASSIGNMENT AND RELEASE: o I hereby assign my insurance benefits to be paid directly to the physician. I understand that I am WELCOME TO SAINT THOMAS MEDICAL PARTNERS NEUROLOGY-WEST Robert J. Fallis, M.D. • Brett Parker, M.D. • Colleen B. Vanderkolk, D.O. Welcome to Saint Thomas Medical Partners Neurology-West. Please review this packetHENDERSONVILLE
65 65 65 65 65 24 24 24 24 24 24 V i e t n a m V et rans Blvd C h a r l o t e A v e D i c k e r s o n P ik e D i c k e r s o n R d E l l in g t o n P k w y G a l l a DR. OSCAR MENDEZ WELCOME TO SAINT THOMAS MEDICAL PARTNERS EPWORTH SLEEPINESS SCALE Use the following scale to choose the most appropriate number for each situation: 0= would never doze or sleep 1= slight chance of dozing or sleeping 2=moderate chance of dozing or sleeping 3=high chance of dozing or sleeping SITUATION CHANCE OFDOZING OR SLEEPING
SAINT THOMAS HEART
Created Date: 12/16/2013 4:30:06 PM REFERRAL REQUEST FORM Referral Request Form . Appointments Also Available By Phone . REFERRING DOCTOR REQUESTED: Dr. Colleen Vanderkolk Dr. Robert Fallis Dr. Brett Parker First Available *Please fax this sheet along with patient demographic, insurance information and any relevant WWW.SAINTTHOMASDOCTORS.COM Created Date: 4/13/2015 10:38:08 AM PATIENT APPOINTMENT: APPOINTMENT LINE: 615.284 DIRECTIONS TO OUR OFFICE (CONTINUED FROM FRONT) Follow Church Street to: 20th Ave N. and turn right. Saint Thomas Midtown Hospital will beon the left.
SAINT THOMAS NEUROLOGY GROUPWEB VIEW 4230 Harding Pike Suite 535-Heart Institute Building. Nashville, TN 37205. 615-222-1251. FAX- 615-222-1244. Michael J. Kaminski, M.D.Robert Fallis, M.D.
“HOW TO” PATIENT PORTAL “HOW TO” PATIENT PORTAL To create a new Patient Portal account 1. Click the link from the Patient Portal email invitation to find the Verify Your Identity page. NEW PATIENT WELCOME PACKET New Patient Welcome Information Womenʼs Health Specialists of Middle TN Dr. Kristina McCain 4323 Carothers Parkway Suite 308 Franklin, TN 37067 615-565-6872 **NP PACKET WEST
Medications (include vitamins and supplements) Dose Frequency How long 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Allergies Reaction SLEEP MEDICINE OF MIDDLE TENNESSEE SAINT THOMAS WEST Sleep Medicine of Middle Tennessee Saint Thomas West Hospital Office 4230 Harding Road, Suite 530 – Heart Institute Building Nashville,TN 37205
HENDERSONVILLE
65 65 65 65 65 24 24 24 24 24 24 V i e t n a m V et rans Blvd C h a r l o t e A v e D i c k e r s o n P ik e D i c k e r s o n R d E l l in g t o n P k w y G a l l a MEDICAL PARTNERS SAINT THOMASMYCARE SAINT THOMAS DOCTORSMYCARE ST THOMASMYCARE PATIENT PORTAL ST THOMASPATIENT PORTAL ST THOMAS WEST END Saint Thomas Medical Partners is committed to providing you the highest quality medical care. To achieve this goal we ask you to be an active participant in your healthcare decisions.YOUR CARE CENTER
ST. THOMAS MEDICAL PARTNERS - NASHVILLE Monday–Friday 8 a.m.–5 p.m. Nashville 300 20th Ave. N., 7th-9th FL, Nashville, TN 37201 • P 615.284.1400 (For after-hour care, call 615.284.2015 ) ST. THOMAS MEDICAL PARTNERS - EXPRESS CARE No Appointment Necessary PROVIDER NAME SATISFACTION MEASURE NAME PERCENTAGE NCQA PCMH Accelerator Program (2014 Standards) Provider Name Satisfaction Percentage Measure Name Angela Beard, NP 49% PCMH: Use certified EHR technology to identify and provide patient specific WWW.SAINTTHOMASDOCTORS.COM www.saintthomasdoctors.com WWW.SAINTTHOMASDOCTORS.COM Created Date: 4/13/2015 10:38:08 AM “HOW TO” PATIENT PORTAL “HOW TO” PATIENT PORTAL To create a new Patient Portal account 1. Click the link from the Patient Portal email invitation to find the Verify Your Identity page. NEW PATIENT WELCOME PACKET New Patient Welcome Information Womenʼs Health Specialists of Middle TN Dr. Kristina McCain 4323 Carothers Parkway Suite 308 Franklin, TN 37067 615-565-6872 **NP PACKET WEST
Medications (include vitamins and supplements) Dose Frequency How long 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Allergies Reaction SLEEP MEDICINE OF MIDDLE TENNESSEE SAINT THOMAS WEST Sleep Medicine of Middle Tennessee Saint Thomas West Hospital Office 4230 Harding Road, Suite 530 – Heart Institute Building Nashville,TN 37205
HENDERSONVILLE
65 65 65 65 65 24 24 24 24 24 24 V i e t n a m V et rans Blvd C h a r l o t e A v e D i c k e r s o n P ik e D i c k e r s o n R d E l l in g t o n P k w y G a l l a MEDICAL PARTNERS SAINT THOMASMYCARE SAINT THOMAS DOCTORSMYCARE ST THOMASMYCARE PATIENT PORTAL ST THOMASPATIENT PORTAL ST THOMAS WEST END Saint Thomas Medical Partners is committed to providing you the highest quality medical care. To achieve this goal we ask you to be an active participant in your healthcare decisions.YOUR CARE CENTER
ST. THOMAS MEDICAL PARTNERS - NASHVILLE Monday–Friday 8 a.m.–5 p.m. Nashville 300 20th Ave. N., 7th-9th FL, Nashville, TN 37201 • P 615.284.1400 (For after-hour care, call 615.284.2015 ) ST. THOMAS MEDICAL PARTNERS - EXPRESS CARE No Appointment Necessary PROVIDER NAME SATISFACTION MEASURE NAME PERCENTAGE NCQA PCMH Accelerator Program (2014 Standards) Provider Name Satisfaction Percentage Measure Name Angela Beard, NP 49% PCMH: Use certified EHR technology to identify and provide patient specific WWW.SAINTTHOMASDOCTORS.COM www.saintthomasdoctors.com WWW.SAINTTHOMASDOCTORS.COM Created Date: 4/13/2015 10:38:08 AMNP PACKET WEST
Medications (include vitamins and supplements) Dose Frequency How long 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Allergies Reaction WWW.SAINTTHOMASDOCTORS.COM Saint Thomas Medical Partners ASSIGNMENT AND RELEASE: o I hereby assign my insurance benefits to be paid directly to the physician. I understand that I am WELCOME TO SAINT THOMAS MEDICAL PARTNERS NEUROLOGY-WEST Robert J. Fallis, M.D. • Brett Parker, M.D. • Colleen B. Vanderkolk, D.O. Welcome to Saint Thomas Medical Partners Neurology-West. Please review this packetHENDERSONVILLE
65 65 65 65 65 24 24 24 24 24 24 V i e t n a m V et rans Blvd C h a r l o t e A v e D i c k e r s o n P ik e D i c k e r s o n R d E l l in g t o n P k w y G a l l a DR. OSCAR MENDEZ WELCOME TO SAINT THOMAS MEDICAL PARTNERS EPWORTH SLEEPINESS SCALE Use the following scale to choose the most appropriate number for each situation: 0= would never doze or sleep 1= slight chance of dozing or sleeping 2=moderate chance of dozing or sleeping 3=high chance of dozing or sleeping SITUATION CHANCE OFDOZING OR SLEEPING
SAINT THOMAS HEART
Created Date: 12/16/2013 4:30:06 PM REFERRAL REQUEST FORM Referral Request Form . Appointments Also Available By Phone . REFERRING DOCTOR REQUESTED: Dr. Colleen Vanderkolk Dr. Robert Fallis Dr. Brett Parker First Available *Please fax this sheet along with patient demographic, insurance information and any relevant WWW.SAINTTHOMASDOCTORS.COM Created Date: 4/13/2015 10:38:08 AM PATIENT APPOINTMENT: APPOINTMENT LINE: 615.284 DIRECTIONS TO OUR OFFICE (CONTINUED FROM FRONT) Follow Church Street to: 20th Ave N. and turn right. Saint Thomas Midtown Hospital will beon the left.
SAINT THOMAS NEUROLOGY GROUPWEB VIEW 4230 Harding Pike Suite 535-Heart Institute Building. Nashville, TN 37205. 615-222-1251. FAX- 615-222-1244. Michael J. Kaminski, M.D.Robert Fallis, M.D.
Close
CORONAVIRUS (COVID-19) UPDATE Ascension is working to keep our community healthy during this time and prevent the spread of infection while also offering options for easier access to care. * If you have a fever, cough or other respiratory symptoms, please call (833) 978-0649 prior to visiting one of our Ascension facilities, so you can be screened by a nursing professional. * For ongoing COVID-19 updates, visit the Centers for DiseaseControl website
.
* Ascension Online Care is also offering video urgent care visits at a discounted rate of $20, so you can talk to a doctor from home. No insurance required. Use the code HOME at Ascension Online Care * Ascension is implementing temporary visitor restrictions, in both inpatient and outpatient settings, to minimize the spread of viral respiratory infections including COVID-19. Please contact your site of care for instructions.ONLINE URGENT CARE
Use the code HOME for a $20 Ascension Online Care visit More about COVID-19 from AscensionEnter Your Location
* Donate
* Bill Pay
* Patient Portals
* Careers
* News
WANT TO CHANGE YOUR PREFERRED LOCATION? YOU'LL THEN GET INFORMATION SPECIFIC TO YOUR NEW SERVICE REGION. City and State or ZIP code* Primary Care
* SPECIALTY CARE
* Find A Location
* Find A Doctor
* Schedule an AppointmentSearch
Ascension primary care doctors take time to develop a relationship with you, understand your situation and coordinate the best care foryour needs.
EXPLORE PRIMARY CARE Featured Primary Care AreasFamily Medicine
Internal Medicine
Pediatrics
Women's Health
EXPLORE ALL PRIMARY CARE Ascension specialists use their expertise in a specific area of medicine to support a complete care plan that's personalized to yourneeds.
EXPLORE SPECIALTY CARE Featured Specialty AreasCancer Care
Heart and Vascular Health Orthopedics and Sports Medicine Obstetrics and Gynecology Urgent and Emergency Care EXPLORE ALL SPECIALTY CARE Find a location near you Find by Facility Name (optional) Location Type: All Location Types Emergency Care Express Care Hospital/Medical Center Imaging Laboratory Pharmacy Primary Care/Clinic Specialty Care Urgent Care OtherFind
Within 25 miles 50 miles 100 miles All Distances of: Find by Last Name (Optional) Please enter 2 or more letters of the last name. Find by Specialty (Optional) Select a Specialty Ascension offers convenient scheduling that allows you to check-in for estimated treatment times at ERs and Urgent Care Centers or schedule appointments for healthcare services - including visits to your primary care doctor. SCHEDULE AN APPOINTMENTEnter Your Location
WANT TO CHANGE YOUR PREFERRED LOCATION? YOU'LL THEN GET INFORMATION SPECIFIC TO YOUR NEW SERVICE REGION. City and State or ZIP code* Primary Care
* SPECIALTY CARE
* Find A Location
* Find A Doctor
* Schedule an Appointment* Donate
* Bill Pay
* Patient Portals
* Careers
* News
ABOUT OUR ORGANIZATION* About Ascension
* Leadership Team
* News
* Our Mission
* Sites of Care
EXPLORE OUR WORK
* Ascension at Home
* Ascension Care Management * Ascension Investment Management* Ascension Living
* Ascension Medical Group * Ascension Medical Mission * Ascension Medicare Advantage * Ascension Technologies * Ascension Ventures * The Resource GroupMORE INFORMATION
* Ascension Stories
* Careers
* Classes and Events* Site Map
* Community Health Needs Assessments* Donate
* Financial Assistance* For Associates
* For Physicians
* Health and Wellness Library* Veterans Choice
* Volunteer
PERSONALIZED CARE WHEN AND WHERE YOU NEED ITFind a Doctor
Find a Location Schedule an AppointmentABOUT ASCENSION
LISTENING TO YOU, CARING FOR YOU From the moment you walk through our doors, you’ll hear the sounds of hope, health and strength, because we’re more than just hospitals, ERs and clinics. Ascension care teams start by understanding you, your health and your life to deliver care that’s right for you. The compassionate, personalized care you’ve come to expect is close to home and connected to a national network of care and the expertise of a wide range of doctors and specialists. So, you’ll be connected to all the care you need for you and yourfamily.
Get Started
QUICK LINKS
My Patient Resources Get financial assistance and health insurance information, request medical records and more.Find Careers
Join our team of healthcare professionals. Learn about career opportunities and open positions.Make a Payment
Pay your bill securely online, make payment arrangements or review ourpayment guidelines.
Ascension News
Learn how we are providing personalized, compassionate care to those who need it most in the communities we serve.OUR LOCATIONS
WITH LOCATIONS ACROSS MORE THAN 20 STATES, ODDS ARE YOU’RE NEVER FAR FROM PERSONALIZED, COMPASSIONATE CAREFind a Location
See all Ascension Sites of Care THE ONLINE, ANYTIME WAY TO SCHEDULE CARE. No matter where you are, what time it is, or what you’re up to, you can quickly make an appointment to get the care you need. Schedule online with Ascension care teams.SCHEDULE NOW
CLASSES AND EVENTS
Find educational classes, special community events and support groupsnear you.
Find a Class or EventHealth Education
A SIMPLE WAY TO KEEP THE FLU AWAY You can prevent the flu this season by taking one simple step.Read Transcript
A SIMPLE WAY TO KEEP THE FLU AWAY'S STORY A Simple Way to Keep the Flu AwayLink to blog entry
COMMUNITY
It’s the sound of hope, health and strength. It’s the sound of personalized, compassionate care at Ascension.Go to Story
*
ABOUT OUR ORGANIZATION* About Ascension
* Leadership Team
* News
* Our Mission
* Sites of Care
*
EXPLORE OUR WORK
* Ascension at Home
* Ascension Care Management * Ascension Investment Management* Ascension Living
* Ascension Medical Group * Ascension Medical Mission * Ascension Medicare Advantage * Ascension Technologies * Ascension Ventures * The Resource Group*
MORE INFORMATION
* Ascension Stories
* Careers
* Classes and Events* Site Map
* Community Health Needs Assessments* Donate
* Financial Assistance* For Associates
* For Physicians
* Health and Wellness Library* Veterans Choice
* Volunteer
*
ABOUT OUR ORGANIZATION* About Ascension
* Leadership Team
* News
* Our Mission
* Sites of Care
*
EXPLORE OUR WORK
* Ascension at Home
* Ascension Care Management * Ascension Investment Management* Ascension Living
* Ascension Medical Group * Ascension Medical Mission * Ascension Medicare Advantage * Ascension Technologies * Ascension Ventures * The Resource Group*
MORE INFORMATION
* Ascension Stories
* Careers
* Classes and Events* Site Map
* Community Health Needs Assessments* Donate
* Financial Assistance* For Associates
* For Physicians
* Health and Wellness Library* Veterans Choice
* Volunteer
Language Assistance: Hospital Pricing Nondiscrimination Policy Compliance and Standards of ConductPrivacy Policy
Terms of Use
HIPAA Notice of Privacy Practices Copyright © 2020 Ascension. All rights reserved.Opens new window.
Details
Copyright © 2024 ArchiveBay.com. All rights reserved. Terms of Use | Privacy Policy | DMCA | 2021 | Feedback | Advertising | RSS 2.0