SUMNER HEALTH
  • Board of Education Employees
    • COVID-19 Information
    • Healow
    • Telehealth
    • Behavioral Health
    • Wellness Center Information
    • Services
    • FORMS
    • Clinic Locations
    • Contact
  • Government Employees
    • COVID-19 Information
    • Healow
    • Telehealth
    • Behavioral Health
    • Wellness Information
    • Services
    • FORMS
    • Clinic Locations
    • Contact

Patient Forms


​IMPORTANT: Please download, print and fill out attached files prior to appointment.
New Patient Paperwork
New Patient Paperwork for Minors Only

TSSAA Sports Physical Form

How to Schedule an appointment:
  • Healow app- choose "Consultation" as appointment type, under "Notes" type in Sports Physical
  • Patient Portal- choose "Sports Exam" as appointment time 
  • Call support center (855) 571.4500- advise receptionist appointment is to be scheduled for a Sports Physical
Sports Physical Paperwork

Medical Information Release Form (HIPPA Release Form)

HIPAA Release Form

Hours

Corporate Office:
​M-F (7am-7pm)

Telephone

1-855-571-4500

Email

​patientservices@121.health
​sumnerappointments@121.health
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  • Board of Education Employees
    • COVID-19 Information
    • Healow
    • Telehealth
    • Behavioral Health
    • Wellness Center Information
    • Services
    • FORMS
    • Clinic Locations
    • Contact
  • Government Employees
    • COVID-19 Information
    • Healow
    • Telehealth
    • Behavioral Health
    • Wellness Information
    • Services
    • FORMS
    • Clinic Locations
    • Contact