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New Patient Form

Mountain Eye Care, PC

Billing and Insurance

Medical Insurance

Assignment and Release

I certify that I and/or my depends have insurance coverage with the insurance(s) listed above and assign directly to Mountain Eye Care, PC all insurance benefits, if any, otherwise payable to me for services rendered. I understand that I am financially responsible for all charges whether or not paid by insurance. I authorize the use of my signature on all insurance submissions.

What is Your Reason For Today's Eye Exam?

Patient Medical History

Review of Systems

Social History

Family History

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Exclusive Offer

Request an Appointment

This option is for routine eye exams only. If you are having an ocular emergency, please call our office for immediate assistance. Our office works diligently to make sure your request is responded to within 48 business hours

THIS ---->https://mountaineyecare.imatrixbase.com/new-patient-center/new-form.html

Office Hours

DayMorningAfternoon
Monday8:15-121-5
Tuesday8:15-121-5
Wednesday8:15-121-5
Thursday8:15-121-5
FridayClosedClosed
SaturdayClosedClosed
SundayClosedClosed
Day Morning Afternoon
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
8:15-12 8:15-12 8:15-12 8:15-12 Closed Closed Closed
1-5 1-5 1-5 1-5 Closed Closed Closed

Testimonial

I appreciate the attention to detail and follow-up of the eye care Mountain Eye Care provides. The front office staff was polite and the choices of frames was great.

Donnie
Blairsville, GA