1934 Alcoa Hwy, Bldg. D, Suite 474, Knoxville, TN 37920   

Office (865) 305-8684   *   Fax (865) 305-4025  *  ‚ÄčEmail: UCPMKreferrals@utmck.edu



A Division of University Anesthesiologists, PLLC

Controlled Substances Agreement

Referral Form

NO Show and Late Arrivals

Our policies and agreements are geared toward patient education, protection and managing a high standard of care.  Click on each image to see the full document.

Notice of Privacy Practices

Medical Record Request

Patient Policies

New Patient Paperwork

Practice Policies and Agreements

Consent for Opioid Therapy

Patient Financial Agreement