Patient Resources

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Current and New Patient Forms

For a faster check in experience, fill out, print, and bring these four forms (along with your drivers license and current insurance card) with you before your next visit. You’ll save valuable time and be able to see your physician faster. Don’t forget to bring a list of your current medications as well to give to your physician.

Patient Information Form (pdf)

Medical History/Review of Systems Form (pdf)

HIPAA Release of Information Form (pdf)

Refraction Policy (pdf)