For Patients

We appreciate your choosing Premier Surgical for your care. On this page you will find Patient Forms, information about your Protected Health Information, Affordable Care Act notices, and billing information.

Patient Forms

To help make your first visit to our office more efficient, please print and complete the Patient Information and History packet and bring it with you to your appointment.

*Please note: if you are already a Premier Surgical patient but have not had an office visit in 12 months, please print the packet and update your information.

Payment Options / Billing Questions?

If you have any questions about our financial policies or if you need to make special payment arrangements, please contact our Premier Surgical Central Billing Office at 865.306.5700.

Payments may be mailed to:
P.O. Box 52948, Knoxville, TN 37950-2948.

Pay by Phone: 866-371-1918
Pay online:



Premier Papermill Office-Based Surgery

Click below to access the Financial Form (for Premier Papermill surgery patients only).

Patient Financial Payment Form

Notice of Privacy Practices for Protected Health Information

This notice describes how information about you may be used and disclosed and how you can get access to this information. Please review it carefully. You have the right to obtain a copy of this notice upon request.

Affordable Care Act: Section 1557