741 President Pl #200, Smyrna, TN 37167 1747 Medical Center Pkwy #100, Murfreesboro, TN 37129 (615) 459-7104 Your First Visit To setup an initial visit: Contact us by phone (615) 459-7104 to schedule your appointment Print and complete the forms below Bring your completed forms to the office Please arrive 20 minutes early to verify paperwork First Visit Forms Health History - Pediatric This form is used to collect health history for pediatric patients. Patient Registration - Pediatric This form is used to collect basic patient and insurance information, medical history, and medical information for Pediatrics. Patient Registration - Adult This form is used to collect basic patient and insurance information, medical history, and medical information for Adults. Authorized Contact - All Patients This form lists all individuals that can be informed about general medical conditions and diagnosis (including treatment, payment, and healthcare information). Medicare Wellness Form This form is a checklist for patients scheduling their Medicare Wellness Annual Visit. OFFICE HOURS 8:00 am - 5:00 pm, Monday - Friday Our Office Locations LABORATORY SERVICES Lab hours are 8:00 am - 4:30 pm If you are instructed to fast, please do not eat or drink anything with calories in it for 12 hours prior to your blood test. Copyright © 2021 All rights reserved. Tennessee Medicine & Pediatrics

741 President Pl #200, Smyrna, TN 37167 1747 Medical Center Pkwy #100, Murfreesboro, TN 37129 (615) 459-7104 Mallory C. Baker, M.D. Dr. Baker grew up in Jackson, Tennessee. She then went on to complete her undergraduate degree in Chemistry at Middle Tennessee State University. Following college, she attended medical school at the University of Tennessee Health Science Center in Memphis, Tennessee, where she received her medical degree. She most recently finished her combined residency in Internal Medicine and Pediatrics at the University of Louisville in Louisville, Kentucky in June 2017. She joined Tennessee Medicine and Pediatrics in August 2017. Dr. Baker is excited to begin her practice "back home" in Tennessee and eager to develop new relationships with her patients. In her free time, she enjoys spending time with her husband and their son, as well as friends and family. OFFICE HOURS 8:00 am - 5:00 pm, Monday - Friday Our Office Locations LABORATORY SERVICES Lab hours are 8:00 am - 4:30 pm If you are instructed to fast, please do not eat or drink anything with calories in it for 12 hours prior to your blood test. Copyright © 2021 All rights reserved. Tennessee Medicine & Pediatrics