Contact us today.

We ask new patients to open, download, and print the Patient Registration Form and the gender-appropriate Medical History Form provided below. Please complete these forms and bring them with you to your initial office visit.

Please also bring your insurance card and a government-issued photo identification card.


New Patient Registration

Click Here to Download the Patient Registration Form

New Patient History – Women

Click Here to Download the New Patient History for Women

New Patient History – Men

Click Here to Download the New Patient History for Men

  • Free New Patient Consultation Call

  • An Independent Physician Owned Specialty Practice Located on the Tennova Healthcare CampusSEE MAP AND DIRECTIONS
  • Patient Testimonials

    "The staff here is excellent; you could not find a better doctor or nursing and office staff. You are always treated with the utmost respect. The nursing staff is very informative, and Dr. Daugherty is very caring and compassionate." -- D.C.

    Questions About Insurance Coverage?

    CLICK HERE FOR MORE INFORMATION

    Men Have Varicose Veins Too

    CLICK HERE TO FIND OUT MORE