Make An Appointment with Dr Jackson

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DR. LEE JACKSON :: PROSTATE CANCER :: LAPAROSCOPIC SURGERY :: SURGERY USING ROBOTICS

Jennifer Edwards
Office Manager

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Make an Appointment

If you are a patient being referred by your doctor, or a patient without doctor referral, the easiest way for you to make an appointment with Dr. Jackson is to complete the following information and let our office call you personally to schedule your appointment. We can answer any questions you may have and provide any additional information you need to have prior to seeing Dr. Jackson.

Enter the following information and click the "Request An Appointment" button below. Dr. Jackson has regular weekday hours. For special requests you can also contact our office by telephone Mon - Fri 8 am to 5 pm at (423) 495-3068.

Name:
Home Address:
City:		State:
Zip / Postal Code:		Country:
Name of your Urologist or General Physician:
Best time of day to reach you by phone:
Telephone: (Include Country Code if outside North America)		Number
Alternate Telephone: (optional)		Number

We request that you provide the following for your first appointment. With this information Dr. Jackson will be able to review your case and discuss treatment options with you.

Biopsy results and slides

Pertinent background medical information

Bone scan results (if available)

CT scan results (if available)

PSA results

List of your current medications

Name, address and phone number of your referring physician

>> download/print "Information Needed for First Appointment" list

(an Adobe Acrobat .pdf document)

Note: You should check with your insurance company to determine what, if any, requirements the company has for obtaining care at Memorial Health Care System and Dr. Lee Jackson.