Click on the video above!
Please download, print, and complete the Adult New Patient History Form or the Pediatric History Form ( 16 years and younger ).
Having the forms to us 24 hours before your first visit will help Dr. Winters be prepared to ask precise questions and target his exam.
You can fax the form(s) to our office at 270-554-8795, scan and e-mail them to
Only complete any special request forms or the Online System Survey if requested.
The online system survey gives Dr. Winters additional information for those who want nutritional consultation as part of their care.
Please click the link below when you have up to 15 minutes to complete the survey in one sitting as you will not be able to log back in to finish.
When your survey is complete Dr. Winters will receive an e-mail with your information.
Please make sure you have also filled out the Adult New Patient History Form which you can access below the video.