REFERRING PHYSICIANS

 

Thank you for choosing Tri-State Mountain Neurology Associates to assist you in the care of your patients. We take great pride in giving our patients top quality care in their neurological needs and appreciate your trust in us. 

 

In order to better service you please print out the attached form below and complete and fax to (423) 926-2258 along with the patients records. We will contact the patient and set up an appropriate time to meet with them.

 

Once again thank you for choosing Tri-State Mountain Neurology Associates. 

 

John Dengler, MD

N. Robb Whaley, MD

Shelly Howard, NP-C

Brandy Story, FNP-BC

 

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PATIENT CONSULTATION FORM