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Prior to your visit to our office, please fill out the appropriate forms below. Please contact us if you have any questions.
Chief Complaint (PDF)
Please print and fill out this form, and bring it to your apppointment.
Review of Systems (PDF)
Please print and fill out this form, and bring it to your apppointment.
Patient History (PDF)
Please print and fill out this form, and bring it to your apppointment.
Notice Of Privacy Practices (Word document)
Please keep the first two pages for your records, and to sign the third page and bring it to your appointment.
Release Authorization (Word document)
Please fill out this form if we request authorization for the release of your health information.
Click here to go through an interactive guide that will print out recommendations for your eyeglasses! Don't forget to to bring it with you so you can discuss with your eye care professional
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