Mon, Thurs & Fri: 8:30am – 4:30pm | Tues – Wed: 8:30am – 7:00pm | Sat: 8:30am – 12:00pm | Sunday: Closed |Lunch: 12:00pm – 1:00pm

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PHONE 931- 542 - 9010
FAX 931 - 919 - 0286
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Forms

Fill out your forms before your appointment!

Note: Once you are done downloading and filling out the form, please send it to compassioncareclinic01@gmail.com

To schedule an appointment, please call us at (931) 542-9010.

New Patient Packet

Welcome Letter
New Patient Registration Form
Consent to Disclosure
Notice of Privacy Practices
Our Financial Policy
Pain Management

Documents

Medication List
Advance Directive (Spanish)
Advance Directive (English)
Advance Directive Handout
Biopsy
Botox
IUD Insertion
IUD Insertion, Removal
Joint Injection
Nexplanon Removal
Nexplanon Insertion
Skin Lession Removal
Skin Tag Removal
Weight Loss

Screenings

ADHD Form
Anxiety Screening
Depression Screening
Fall Risk Screening
Cognition Assessment
COVID
TB Test Form

Educational Handouts

Safe Medication During Pregnancy

LOCATION

Address

2443 Old Russellville Pike
Clarksville, Tennessee 37040

Email

compassioncareclinic01@gmail.com 

Phone

(931) 542-9010

FAX

(931) 919-0286

HOURS

Mon, Thurs & Fri:
8:30am – 4:30pm
Tues – Wed: 8:30am – 7:00pm
Sat: 8:30am – 12:00pm
Sunday: Closed
Lunch: 12:00pm – 1:00pm

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