THE BRADLEY EYE CARE CENTER
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patient forms

Patient Forms

Patient Info Form
File Size: 1457 kb
File Type: pdf
Download File

HIPAA Consent Form
File Size: 124 kb
File Type: pdf
Download File

Record Release Form
File Size: 103 kb
File Type: pdf
Download File

09192023_005.pdf
File Size: 84 kb
File Type: pdf
Download File

To save time, please download, print and complete the Patient Information Form and the HIPPA Consent Form prior to your appointment.

​If you have VSP, please download the VSP Consent Form in addition to the above forms.

Thank you. ​We look forward to serving you!
Contact Us
76 Mouse Creek Road
Cleveland, TN 37312
Phone: 423-472-5085
​(call or text)
Office Hours
Mon    8:30 am - 4:00 pm 
Tue      8:30 am - 5:00 pm
Wed   8:30 am - 4:00 pm
Thu     8:30 am - 5:00 pm
Fri       8:30 am - 1:00 pm
​Notice of Privacy Practices
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  • Home
  • About us
  • Vision Care & Glasses
  • Patient Forms
  • Location
  • Cancellation Policy