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Laser Vision Correction

Patient Forms

Before your appointment with us, quickly and conveniently access patient forms from our practice.

To view the forms listed below, you will need Adobe Reader. You may download Adobe Reader for free at www.adobe.com.

Patient Registration Form
Adult Patient History Questionnaire
Pediatric Patient Information Sheet
Notice of Privacy Practices
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PLEASE BE PATIENT WITH US

We are converting our practice to
Electronic Medical Records (EMR).
Our first day is February 25th.
We will be working dilligently to registered and work up our patients in a timely fashion. We have reduced our schedules these first few weeks, but DELAYS ARE EXPECTED.
Your patience is greatly appreciated.

We will also be asking for your email address for our new portal.