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Shelbyville Podiatrist | Shelbyville Patient Forms | TN | Oliver Foot Clinic |

Russell Wade Oliver, DPM, FACFAS

635 N. Main St., Suite A
Shelbyville, TN 37160
(931) 684-8884

Patient Forms
 
Patient Forms

We welcome new patients! To expedite your appointment check-in, completing the following forms ahead of time will speed up the process. Please complete, print and sign the required documents. Bring these with you to your first appointment so we can serve you better.

 

Registration Form

Brief Medical History Form

Financial Policy

Notice of Privacy Practice

 

You can print and complete these forms before your office visit. Please print and bring a hard copy with you to your appointment.

NOTE: The form is not configured with the e-mail option. For security and HIPPA Compliance, NEVER transmit or e-mail personal, financial or medical information through non-secure connections on the Internet.