Ragan  Sargent  Thacker

    Vision for Life!

3524 State Route 160

Gallipolis, Ohio  45631
  Phone: (740) 446-2236    Fax: (740) 446-9883
 
       

 Before your exam...

          In order to save you time at our office, the following links provide you with a downloadable medical history form, as well as a general information form.  You may print these and fill them out in advance; simply bring the completed forms with you when you come for your exam.
         
         
         
         
       

Downloadable Forms (*.pdf format):

Medical History Information Form                    General Patient Information Form

       
       
         
        Business hours and other office information...