FORMS | eyes

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The following forms are intended for current and future patients to notify us of contact information and to notify you of our policies and procedures:

Patient Information and Medical History Form
Medical Records Release
Insurance and Financial Policies
Notice of Privacy Practices
HIPAA Acknowledgement

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Patient Information and Medical History Form Medical Records Release Insurance and Financial Policies Notice of Privacy Practices HIPAA Acknowledgement

Patient Information and Medical History Form
Medical Records Release
Insurance and Financial Policies
Notice of Privacy Practices
HIPAA Acknowledgement