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185 Wesley Reed Dr. Suite E Atoka, TN 38004
901-840-3937
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At McMillian Eye Care, we value your time. In an effort to save you time in our office, you can download and complete our patient form(s) prior to your appointment.

  • You will need AdobeReader® to download and complete the forms. Click here to download.
  • Download the required form(s). Print out the form(s) and complete the required information.
  • Fax your printed and completed form(s) to our office or bring them with you to your appointment.

New Patient Forms – Required

Please complete both the Welcome form and the Medical History form as it lets us know the history and current state of your health. Also, bring a list of medication you are currently taking, your insurance cards and the most current pair of glasses or any contact lens boxes.

Welcome & Patient History Forms download and print forms

Credit and HIPPA Policies please review and obtain for your records

   

                                   




Download the Free AdobeReader®