Forms & Financial Options

Patient Forms

If you are a new patient, please fill out the forms listed below in advance of your appointment to assist the staff in making sure that we have all the information necessary to provide you with quality care and treatment. If you don't have Adobe Acrobat you can download it here. Please either bring the completed forms with you to your appointment, or email the completed forms to: info@bulowops.com

Financial Options

Bernard Health

Bernard Health is an insurance consulting company where you can receive guidance on finding an insurance company that best suits you and your family’s medical needs. Call 615-528-3399 for more information.

100 Oaks
720 Thompson Lane
Nashville, TN 37204
100oaksnashville@bernardhealth.com

Belle Meade
4501 Harding Pike
Nashville, TN 37205
bellemeade@bernardhealth.com

Cool Springs
1735 Galleria Blvd, Suite 1047
Franklin, TN 37067
coolsprings@bernardhealth.com

Care Credit

Apply online and get approval in minutes. No interest is applied when paid in full within 6, 12 or 18 months. More information can be provided at the front desk or by calling our office at 615-712-7261.

Apply Today

Parasail

Apply online and get approval in a short amount of time. Application is easy, secure and won’t affect your credit. More information can be provided at the front desk or by calling our office at 615-712-7261.

Apply Today

Medicare

For more information go to https://www.medicare.gov/

Apply Today

Medicare Supplement - Medigap

Medicare supplement plans aim to help cover what Medicare does not. It covers some deductibles, co-insurance, co-payments, and other costs not covered by Medicare Parts A & B.

For more information go to https://www.medicaresupplement.com/ or call 855-309-7322 to speak with an agent.

NOTE: You cannot buy a Medigap policy if you have a Medicare Advantage Plan unless you first disenroll from the Medicare Advantage policy.

Medicaid

For more information go to http://www.medicaid.gov/index.html

To see if you qualify, go to https://www.healthcare.gov/medicaid-chip/eligibility/

Mending Limbs

For more information go to http://www.mendinglimbs.org/

Apply Today