R. Galen Kemp, M.D.
OPHTHALMOLOGY

PRACTICING IN

ELLIS COUNTY

FOR OVER 30 YEARS

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    NEW PATIENT FORMS

    Please print and fill out the new patient forms to bring with you to your

    appointment with Dr. Kemp.  Thank you.

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    Monday -  Friday  8:00 am - 5:00 pm

     1626 West Highway 287 Business,

    Suite 105, Waxahachie, TX 75165

    972.938.1919  OFFICE
    972.923.0481  FAX