Family Medicine, Cordova, Memphis Dr. Tisdale MD & Dr. Causey MD

:: BIOGRAPHY - DR. DETRA TISDALE, M.D

Detra Tisdale, M.D. is Board Certified by the American Board of Internal Medicine

Specialty		Medical School
Internal Medicine Patients: Adults age 18 & over Residency Emory School of Medicine, Atlanta, GA		Emory University, Atlanta, GA Memberships American Medical Association Society of General Internal Medicine

:: BIOGRAPHY - DR. KARIMA CAUSEY, M.D

Dr. Causey is Board Certified by the American Board of Family Medicine

Specialty		Medical School
Family Medicine Patients of all ages Residency University of Tennessee Saint Francis Family Medicine Program Memphis, TN		East Tennessee State University Organization American Medical Association Tennessee Medical association Tennessee Academy of Family Physicians

:: FORMS

Adult New Patient For adults (age 18+) with a new patient appointment		Frequently Asked Questions HIPAA as it relates to our patients.
Medical Information Release Authorizes Saint Francis Medical Partners - Bartlett to release your medical information to specific entities.		Request for Correction / Amendment to Record Allows you to request a correction / amendment to your medical record.
Medical Release Form authorizing healthcare provider to release your medical information to Saint Francis Medical Partners		Know Your Benefits This pamphlet can assist you in learning about your insurance benefits, including questions to ask your provider.
Notice and Receipt of Privacy Practices (HIPAA) HIPAA requires all patients to complete this form. Describes how medical information about you may be used and disclosed and how you can access this information.		Red Flags Payment Permission Form Form authorizing a patient the use of Medical Flex card, personal credit card, or personal check to pay for the services that they receive at Saint Francis Medical Partners
		Financial Policy Explains payment of services

:: SERVICES OFFERED

:: HOSPITAL AFFILIATION

2986 Kate Bond Rd.
Bartlett, Tennessee 38133
[t] 901-820-7000
www.saintfrancisbartlett.com