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Registration Documents

For a quicker experience consider downloading, printing and filling these documents out in the comfort of your home before arriving at our office.

AttachmentSize
ConsentForTreatment.pdf47.74 KB
EyeHistory.pdf63.43 KB
MedicalReleaseForm.pdf42.59 KB
MedicareSupplierStandards.pdf22.56 KB
MedicareSupplierStandards-spanish.pdf56.75 KB
NoticeOfPrivacyPractices.pdf130.64 KB
PatientRegistrationSheet.pdf102.01 KB
FinancialResponsibility.pdf83.25 KB