Request An Appointment (Official)

Request Appointment Form

If you have questions or to schedule an appointment, fill out the form below or call Sam Stevens at (615) 815-5941.

Once we receive your request, we will contact you to make arrangements.

Address & Contact

120 Holiday Ct. Ste 2, Franklin, TN 37067

Legal Details

HIPAA Notice of Privacy Practices

Here is the Full HIPAA Policy for Sanctuary Functional Medicine: SMCC HIPAA FINAL

If you are enrolling as a patient, you will need to print and sign this page to 1) acknowledge that I have offered the Full Policy for your review, 2) list to whom I may release your medical information, and 3) to agree to communication forms (please read form). HIPAA Consent SMCC

Non-Discrimination Statement

Sanctuary Functional Medicine does not discriminate in its patient care based on race, gender or religious affiliation. All patients are welcome to request care from the practice, although Dr. Potter reserves the right to respectfully decline to provide care outside of their fields of practice or to continue a patient-physician relationship which is harmful to the patient or to himself.

Limitations Regarding the Outcome of Care

All humans, including physicians, are limited in power, knowledge and ability. While Dr. Potter will do his utmost to determine the cause of your suffering and to provide a remedy, they cannot guarantee any specific outcome.

God alone determines our destinies and only He knows all the intricacies of our being, including our suffering. Dr. Potter will ask God to use them as a means to your healing and restoration, but cannot guarantee such results.

Patient Contract to Initiate Care

A copy of this covenant will be provided to you upon request. Please contact Dr. Potter.