Patient Forms

Franklin Patient Forms - Download

Informed Consent - Download

Please send all forms to: info@balancedlifeandhealth.com

 

Dr. Roberts is passionate about what he does. He feels that we have a calling to provide our patients with the highest quality, functional healthcare available.

Insurance companies limit the treatment, care options, and time that physicians can spend with their patients. Unfortunately, we have found that Balanced Life & Health cannot be a participating provider in insurance networks and provide the time-intensive, well thought out, expert care that we seek to provide.

Balanced Life & Health is a fee for service facility and does not participate in third-party insurance, Medicare, or Tenncare. Payment is required at the time services are rendered.

Payment may be made in the form of:

  • Cash
  • Check

Although we are out-of-network, we provide a statement that lists the services received along with the appropriate codes needed for you to submit your claim to your insurance company. Some of our patients receive partial reimbursement for covered services but more likely than not the fee will be applied to your deductible.