Prior to your first visit, please complete the new patient forms ahead of time to ensure a smooth registration process on the day of your appointment. Failure to do so could delay your appointment by as much as one hour.
Before You Begin
For new breast patients:
Have you had a breast biopsy or surgery performed at a facility other than a Methodist or Baptist facility? OR have you had breast pathology performed at any place other than Memphis Pathology Group or Pathology Group of the Midsouth?
If you answered YES to any of the above, you will FIRST need to fill out the online Authorization form so we can receive your medical records before you are seen.
The required Authorization form can be filled out online here:
To fill out your New Patient Paperwork Offline
Please print these out prior to your appointment and either mail the completed forms to the location of your appointment, or bring the completed forms with you on your first visit. For a list of addresses, please click here.
New Patient Paperwork - West Cancer Center
New Patient Paperwork - Margaret West Comprehensive Breast Center (for physician office visits only)
New Patient Paperwork - West Cancer Center, Department of Radiation Oncology
New Patient Paperwork - West Cancer Center, Department of Pain and Palliative Care
New Patient Paperwork - West Clinic
New Patient Paperwork - West Clinic, Dr. Stan Smith
Margaret West Comprehensive Breast Center New Patient Packet - ONLINE
Please remember that prior to your first visit, your new patient forms need to be completed ahead of time to ensure a smooth registration process on the day of your appointment. Failure to do so could delay your appointment by as much as one hour.
*PLEASE NOTE* This packet must be filled out if you are scheduled for a Physician Office visit. You are not required to fill this out if you are ONLY coming in for a Screening or Diagnostic Mammogram.
Below are links to the required information and consent forms. You may choose to submit online through our secured and HIPPA compliant server, IntakeQ. Please note, there are FOUR consent forms attached to the New Patient Packet that must be signed by hand or electronically and submitted as well.