Southern Horizon Healthcare
Redefining affordable health care

Forms and Policies

Office Policies


Southern Horizon Healthcare has implemented a Missed Appointment Policy effective January 1, 2016. There will be a $50 missed appointment fee for appointments that are missed without notifying our office 24 hours in advance. Your insurance company will NOT be billed for the missed appointment fee. You will be responsible for the fee of $50 regardless of your insurance plan. This is an office wide policy that will assist us in becoming more efficient with our time and be able to offer missed appointment slots to other patients.


  • All controlled substances require a face to face office visit at each refill unless prearranged with your provider.

  • Under no circumstances will refill of medications of any kind occur after business hours.

  • Routine prescriptions will require follow-up visits every three to six months, however timeframe may vary based on consultation.


An answering service is available to you after business hours for urgent questions and concerns. Call the office number and it will automatically transfer you to the service at that time. Routine phone calls will not be transferred. Instead, a message will be taken and relayed to the office the next business day. You will receive a return call during the next business day.

Patient Forms

Click on the forms below. Print these forms and fill them out. Bring a valid ID and your insurance card. Arrive at least 15 minutes early to your appointment. There may be additional information that we may ask you to fill out.