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PATIENT FORMS
Download, Fill, and Return to Front Desk
HIPAA, INSURANCE, AND REFRACTION FORMS
Authorization for Release of Information, Statement of Patient Financial Responsibility, Insurance Authorization, Refraction Policy, No Show Policy
This form needs to be filled in addition to the information filled out at the patient portal
DEMOGRAPHICS AND MEDICAL QUESTIONNAIRE
This form does NOT need to be filled out if you have already completed this at the patient portal
NOTICE OF PRIVACY PRACTICES
This form is for patient reference only
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