Forms And Payment Information

Accepts new patients

Medical insurance plans and payment options:

Medicare - Yes
Medicaid - No

Workers' compensation - Yes, with authorization from Work Comp Adjuster

Self Pay - No

Most Commercial Insurances - Yes, check with your insurance provider

IME/2nd Opinions - Case By Case

Please contact our billing service to make payment arrangements or if you have questions about your bill (423) 648-9808

Office information from Barry Vaughn, M.D.

Full HIPAA Disclosure

A copy of the full HIPAA disclosure.

HIPAA Release Form

HIPAA form available in PDF.

Medical Records release to get Another docs Recs

If you want/need your records from another doctor to be sent to Dr. Vaughn. Please fill out this form & send to the other doctors office.

Guarantor/Proxy Sheet

Available in PDF form.

History and Physical Form

Please review, fill out, and sign. Bring this with you to your appointment or email to checkout@vaughnortho.com or fax to (423) 664-4784.

Medical Records Release for us to send records

Only fill this out if you would like a copy of your records sent to another doctor. Email to checkout@vaughnortho.com or fax to (423) 664-4784.

Pain Assessment

Please review, fill out, and sign. Bring this with you to your appointment or email to checkout@vaughnortho.com or fax to (423) 664-4784.

Patient Demographic Sheet

Please review, fill out, and sign. Bring this with you to your appointment or email to checkout@vaughnortho.com or fax to (423) 664-4784.