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 as well as fax back the form to you with the physican they will be seeing along with the date and time of the appointment for your records. 

 

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

 

PATIENT CONSULTATION FORM

value. quality care. convenience.

tri-state mountain neurology

1321 Sunset Drive, Suite 11
Johnson City, Tennessee 37604

Monday - Thursday   7:45 am -   4:45 pm
Friday                           7:45 am - 12:00 pm
Saturday                      Closed

Sunday                         Closed

© 2013 Tri-State Mountain Neurology, All rights reserved.

423-928-6174