print logo for Friedrich Eye Associates, PLLC

2120 Northgate Park Lane
Suite 102
Chattanooga, TN 37415

Phone:(423) 702-2020
Fax: (423) 702-2021

Patient Center

Patient Forms

Online Patient Registration

We now have online patient registration available. Please complete all sections of the form.

New Patients

Please download, print, and complete the following forms packet before your appointment, and bring them with you to your appointment.

Individual Forms

The following is a list of individual forms found in the New Patient Packet above.


Friedrich Eye Associates accepts most insurance plans. If you do not see your insurance company listed below, please feel free to contact our office at (423) 702-2020 so that we may become a participating provider.

Referring Physicians

We are happy to see your patients. Please use the form below so that we can set up the appointment.