Patient Forms
Information about Financing our Healthcare Programs:
- Medical Financing provides an extensive range of loan options with low monthly payments and terms up to 60 months.
- Rates starting as low as 5.99%
- Promotions such as Interest Free, Fixed Interest Rates, Deferred Interest, Fixed Low Monthly Payments
- No prepayment penalties
- Financing regardless of credit score with veriiable income
- Easy application form with quick approval decisions
(click the picture to apply —>)
For Medical and Fibromyalgia New Patients
Click the link at the bottom of this page to get our new patient questionnaire. These forms – which include a detailed history, adrenal, yeast, metabolic, thyroid, brain chemistry, and nutritional questionnaire—must be received by us before your scheduled consult.
You may fax them to 205-879-2381 (or) mail it to:
Dr. Rodger Murphree Corporate Center 2700 Rogers Drive Suite 100 Homewood, AL 35209
