Patient Forms

NEW Patient Intake Form

Complete this form if you have never been seen at our office before, or if you are a previous patient and your last eye exam was elsewhere.

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RETURNING Patient Intake Form

Complete this form if you are a returning patient and your last eye exam was at our office.

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Records Release Form

Complete this form if you would like part or all of your record from our office sent to you or to another medical provider, or if you would like your records from another office sent to our office.

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HIPAA Policy

Click below if you would like to download our HIPAA and Privacy Practices policy.

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