Referring Physicians

PENTA accepts most insurance plans and will be happy to assist you with your referrals. We understand how valuable your time is, therefore once we receive your referral form, we will be happy to call your patient and schedule their appointment and inform your office of your patient's appointment date and time. Please complete the following form and await a call from our friendly office staff!

If you have any questions, please contact Beth at 865-673-8229 or email at

Physician Info
Patient Info
Patient's Name *
Patient's Name