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Patient Information


Fill out your Patient Forms prior to your visit by printing them out here. Click on the link, open the file and print. Please allow 2 to 4 minutes for each form to print.

Forms in Adobe (PDF) Format

 

LASIK Screening History

 

HIPPA Records Release

 

New Patients please download, print and fill out the following four forms:

 

Patient Information

 

HIPPA Notice

 

Financial Statement

 

PHI Disclosure

 

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