Patient Forms
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Print, Complete & Bring With You On Day Of Appointment:
- Patient Registration & Billing Information
- Appointment Guidelines
- Patient Acknowledgement of Receipt of Notice of Privacy Practices
- Patient Authorization for Verbal Communications
- Patient Consent for Dilating Eye Drops
Medical Record Request/Release Form
Used To Help You Request Your Records From Another Doctor
Notice of Privacy Practices
For Your Review And Understanding Of Our Privacy Practices