ATTENTION—Important Clinic information:
Due to the rapidly changing requirements related to the COVID-19, beginning Monday 3/23/20 we are moving all clinic appointments to Telehealth visits until further notice.  We will allow curbside medication pick-ups and allergy injections by appointment only Monday through Friday from 8a-5pm for the time being. Feel free to call 1-855-571-4500 with questions, to schedule a Telehealth visit or if you are experiencing technical difficulties. Leave a detailed message and we will get back to you shortly. Please continue to check this site regularly for updates.

Download the directions below to access Telehealth:
sumnerhealow.pdf
File Size: 55 kb
File Type: pdf
Download File

Forms


​IMPORTANT: Please download, print and fill out attached files prior to appointment.

2019 Influenza Vaccine Forms

2019_influenza_consent_form.pdf
File Size: 156 kb
File Type: pdf
Download File
influenza_vis_.pdf
File Size: 319 kb
File Type: pdf
Download File

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
tssaa_sports_pe_form.pdf
File Size: 666 kb
File Type: pdf
Download File

Medical Information Release Form (HIPPA Release Form)

medical_information_release_form.pdf
File Size: 285 kb
File Type: pdf
Download File

What's New For 2020 Wellness Compliance

2020_requirements.pdf
File Size: 222 kb
File Type: pdf
Download File

2020 Wellness Promise FAQs

2020_faqs.pdf
File Size: 220 kb
File Type: pdf
Download File

2020 Annual Physical Form

2019-2020_o2o_annual_physical_screening_form-final.pdf
File Size: 309 kb
File Type: pdf
Download File