All forms in pdf format

New Patient Forms - save time when you come in for your first visit. en Español

Medical Records Release To The Barfield Clinic - if you need records released to our facility, please complete this form and send to the facility or provider needed.

Medical Records Release From The Barfield Clinic - if you need records released from our facility please complete this form and mail, fax or drop by.  We can provide your records on paper, CD, or other electronic media such as jump drives.  A small fee may apply.

TennCare Application - if you do not have medical insurance complete this form and submit to the Department of Human Services.

Sports Physical Forms - history section available here.  Exam portion produced electronically at clinic. (TSSAA Emergency Treatment Form)

DOT (Dept. of Transportation) Physical Form - history section available here.  Exam portion completed at clinic.

Child Care Physical Forms - Tennessee Department of Human Services required form.