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  March 10, 2010      

                

 
 Patient InfoPatient Forms   

Our website gives you the ability to download our documents and forms before your appointment. Simply choose the form and download it to your computer by clicking on the green download link.

It may take several minutes, depending on the speed of your computer.

Your computer will need to have Adobe Reader installed to be able to view and print these documents.  You may obtain a FREE copy of Abode Reader by clicking here:

 TitleCategoryModified DateSize Description
Patient Satisfaction SurveyMisc11/13/200763.68 KBDownload 
Patient Information (Peach Sheet)Medical Forms6/11/200968.02 KBDownloadForm for patient and insurance information
Refraction Fee Explanation 2009Medical Forms6/11/200960.40 KBDownloadExplanation of refaction fee and insurance
Record Release - MedicalMedical Forms6/11/200931.60 KBDownload 
Notice of Privacy PolicyInformation6/11/200924.12 KBDownloadHIPAA privacy policy
Maps to EyeCare LocationsMisc6/11/200947.70 KBDownloadGeneral maps and directions
Application for Employment Employment Form6/11/200964.06 KBDownload 
MediCare Information for 2009Misc6/11/200914.99 KBDownloadExplanation of our MediCare policy
Medical History Form 2009Medical Forms6/11/2009111.90 KBDownloadMedical history data
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