Patient Center

Patient Forms

Online Patient Registration

We now have online patient registration available. Please complete all sections of the form.

• Online Patient Registration

New Patients

Please download, print, and complete the following forms packet before your appointment, and bring them with you to your appointment. Please bring your photo ID, insurance cards, and medications or medication list with you as well.

• New Patient Packet

Individual Forms

The following is a list of individual forms found in the New Patient Packet above.

• New Patient Introduction Letter
• Patient Registration
• History & Physical Form
• HIPAA Notice of Privacy Practices
• Policies Acknowledgement

Insurance

Friedrich Eye Associates accepts most insurance plans. If you do not see your insurance company listed below, please feel free to contact our office at (423) 702-2020 so that we may become a participating provider.

• AARP (supplemental only)
• Aetna
• BCBS
• Blue Care
• ChampVA
• Cigna Commercial
• Cigna Medicare
• Coventry Healthcare
• Davis Vision
• Eye Med

• First Health
• Health EOS
• Health One Alliance
• Healthscope
• Human Choice Care
• Humana
• Mail Handlers
• Medicare
• Multiplan
• Multiplan PPO

• Multiplan WC
• Optum VA
• Railroad Medicare
• Tricare for Life
• UHC Community Plan
• UHC Medicare Direct
• UMR
• United Healthcare
• Vision Service Plan
• Wellpoint

Referring Physicians

We are happy to see your patients. Please use the form below so that we can set up the appointment.

• Referring Physician Form