Patient Center
Patient Forms
Online Patient Registration
We now have online patient registration available. Please complete all sections of the form.
New Patients
Please download, print, and complete the following forms packet before your appointment, and bring them with you to your appointment.
Individual Forms
The following is a list of individual forms found in the New Patient Packet above.
- New Patient Introduction Letter
- Patient Registration
- History & Physical Form
- HIPAA Notice of Privacy Practices
- Policies Acknowledgement
Insurance
Friedrich Eye Associates accepts most insurance plans. If you do not see your insurance company listed below, please feel free to contact our office at (423) 702-2020 so that we may become a participating provider.
- AARP
- Aetna
- BCBS
- Beech Street
- Blue Care
- Bluegrass Family Health
- Coventry Healthcare
- Davis Vision
- Eye Med
- First Health
- Health EOS
- Health One Alliance
- Healthscope
- Healthspring
- Human Choice Care
- Humana
- Mail Handlers
- Medicare
- Multiplan
- Multiplan PPO
- Multiplan WC
- Novanet
- Railroad Medicare
- Sterling
- Tennessee Medicaid
- Tricare for Life
- UHC Community Plan
- UHC Medicare Direct
- United Healthcare
- Vision Service Plan
- Windsor Extra
Referring Physicians
We are happy to see your patients. Please use the form below so that we can set up the appointment.