The Eye Clinic
The Eye Clinic
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    • Home
    • Locations
    • Optical
    • Patients
      • Patient Portal
    • Billing & Insurance
    • Patient Forms
  • Home
  • Locations
  • Optical
  • Patients
    • Patient Portal
  • Billing & Insurance
  • Patient Forms

Downloads

Download Paitent Forms Here!

COMMONWELL (pdf)Download
HIPAA NOTICE (pdf)Download
MEDICARE AUTHORIZATION (pdf)Download
PATIENT INFORMATION (pdf)Download
RECORDS RELEASE (pdf)Download
REFRACTIVE EXAM ACKNOWLEDGEMENT (pdf)Download

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  • Locations
  • Optical
  • Billing & Insurance
  • Patient Forms