Forms & Financial Options
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: firstname.lastname@example.org
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.
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.
NOTE: You cannot buy a Medigap policy if you have a Medicare Advantage Plan unless you first disenroll from the Medicare Advantage policy.