New Patient Request

You are invited to use this form to send a message to the State of Franklin Healthcare Patient Experience Department. To protect your privacy, please do not communicate personal health information via this form.

Are you interested in becoming a SoFHA patient? Start here, by submitting the form below.

New Patient Request Form

A SoFHA representative will respond to your message Monday – Friday between 8:00 am and 5:00 pm.