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About us
Services
Insurances
Designer Eyewear
Important Forms to Fill Out
Home
About us
Services
Insurances
Designer Eyewear
Important Forms to Fill Out
Important Forms to Fill Out
Save time before visiting our office by downloading and filling out the forms below.
NOTICE OF PRIVACY PRACTICES
Notice of privacy practices.pdf
Adobe Acrobat Document
258.8 KB
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HIPAA Consent Form
HIPAA Consent.jpeg
JPG Image
335.4 KB
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Patient Information
Patient Information 2020.jpeg
JPG Image
314.5 KB
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RECORDS RELEASE FORM
recordreleaseje.pdf
Adobe Acrobat Document
296.9 KB
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Patient Medical History
Patient Medical History 2020 (2).jpeg
JPG Image
425.8 KB
Download
Office Policies Page 1
office policies-page-001.jpg
JPG Image
291.8 KB
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Office Policies Page 2
office policies-page-002.jpg
JPG Image
236.5 KB
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Email Waiver
Email Waiver 2020.jpeg
JPG Image
240.1 KB
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