Office Forms

 

Download, print, read, sign, and return these forms as needed to give consent to the doctor, to use or disclose your protected health information, for the purpose of carrying out treatment, to view our policies, make payment, or other health care operations.

Confidential and Privacy Release
Consent Form
NOTICE OF PRIVACY PRACTICES
Wellness Retinal Imaging Consent Form
Personal Questionnaire
Medical History Questionnaire

Adobe Acrobat Reader is required to view and print these forms. Click on the button if you need to download Adobe Acrobat Reader to your personal computer to read these forms.

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