Eyes on the Mountain
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patient  forms

Patient Forms


newpatientpaperwork.pdf
File Size: 1114 kb
File Type: pdf
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This form is completed by all new patients of Eyes on the Mountain. This document has three pages. Please feel free to 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 8:00-1:00

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