Eyes on the Mountain
  • Home
  • Our Practice
  • Our Services
  • Patient Forms
  • Eye Care Articles
  • Location and Contact Information

patient  forms

Patient  Forms


New_patient_paperwork.pdf
File Size: 2051 kb
File Type: pdf
Download File

This form is completed by all new patients of Eyes on the Mountain. This document has three pages. Please print and fill out both pages prior to your examination to expedite your visit.

For patients who have already filled out this form, Dr. Hale will review it with you prior to the examination.
Contact Us
1807 Taft Highway Suite 9
Signal Mountain, TN 37377
Phone: 423-886-7252
Fax: 423-886-9551

Hours
Monday - Thursday:  8:00 - 5:00
Friday 8:00 - 12:00pm

Notice of Privacy Practices
Website by Eyefinity

  • Home
  • Our Practice
  • Our Services
  • Patient Forms
  • Eye Care Articles
  • Location and Contact Information