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Located on the corner of E. Oakland Ave. and E. Springbrook Dr. North Johnson City, just up the street from Grand Piano furniture store.

Call Us 423-207-2114
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Home » Contact Us » Online Patient Registration Form

Online Patient Registration Form

lock icon Please complete the information below and submit the form online, or if you prefer print out the form after full or partial completion, and bring it when you come to our office. This form contains confidential information and is delivered to your doctor through a secure Internet connection.

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We are Reopening!

In an effort to make your visit safe for our patients and our staff, we are following all required health and safety protocols including the following:

  1. We are currently seeing patients by appointment only
  2. Only the patient is allowed in the office unless the patient is a minor or the patient requires a care taker
  3. We are checking temperatures at the front door and will ask a series of health questions. Temperatures of 100 degrees or above will not be allowed in the building and will be rescheduled at least 2 weeks out.
  4. We are also asking all patients to wear a mask when they arrive for their appointment.

We would like to thank you in advance for your continued patience while we all get through this difficult time.