ENGLISH▼ ESPAÑOL PATIENT FORMS On this page you can find some of our paperwork when becoming a new patient. If you need any help please contact us. New patients are given a packet containing a welcome letter, patient responsibilities pamphlet, application, patient data sheet, HIPAA privacy form and a sliding fee application. If assistance is needed to complete the packet, a member of our staff would be glad to help. Our patient service representatives will have you complete a release of records to request records from former providers and specialist. In the event of a medical emergency, call 911 or go to the nearest hospital emergency room. Patient Data Form Sliding Fee Form Sliding Fee Policy Form Farmworker Verification Form Privacy Practices Form HIPAA Notice of Privacy Practices RMS HIPPA Form Last Updated on August 5, 2020. HOME COVID SERVICES LOCATIONS INFO CONTACT US PATIENT PORTAL b a x j CONTACT US All content Copyright © 2021, Rural Medical Services, Inc.. Knoxville web design and hosting by Slamdot.

ENGLISH▼ ESPAÑOL COSBY CENTER SERVICES Family Practice Obstetrics & Gynecology Specialty Referral Adult Acute & Chronic Care Immunizations Pediatrics Patient Health Education Family Planning Dermatology Laboratory Testing Behavioral Health Diabetes Education Care Coordination CENTER INFORMATION 103 Wilton Springs Rd. Newport, TN 37821 Tel: 423.487.2222 Fax: 423.623.7787 Hours M-F: 8am – 4pm Providers Deana Brotherton, MD, FAAFP Chasity Hensley, FNP Maureen Carroll Smith, PsyD In the event of a medical emergency, call 911 or go to the nearest hospital emergency room. Last Updated on December 18, 2019. HOME COVID SERVICES LOCATIONS INFO CONTACT US PATIENT PORTAL b a x j CONTACT US All content Copyright © 2021, Rural Medical Services, Inc.. Knoxville web design and hosting by Slamdot.