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Privacy Act Notice (SPANISH)
This form is not fillable online, please print it, fill it out and bring it to your visit to expedite your check in.
Patient Information and Forms
Privacy Act Notice (ENGLISH)
This form is not fillable online, please print it, fill it out and bring it to your visit to expedite your check in.
New Patient Registration Form (SPANISH)
This form is not fillable online, please print it, fill it out and bring it to your visit to expedite your check in.
New Patient Registration Form (ENGLISH)
This form is not fillable online, please print it, fill it out and bring it to your visit to expedite your check in.
Cataract Lifestyle Questionnaire (Spanish)
This form is not fillable online, please print it, fill it out and bring it to your visit to expedite your check in.
Cataract Lifestyle Questionnaire (English)
This form is not fillable online, please print it, fill it out and bring it to your visit to expedite your check in.
Patient Questionnaire (Spanish)
This form is not fillable online, please print it, fill it out and bring it to visit to expedite your check in.
Patient Questionnaire (English)
This form is not fillable online, please print it, fill it out and bring it to your visit to expedite your check in.
Financial Disclosure (Spanish)
This form is not fillable online, please print it, fill it out and bring it to your visit to expedite your check in.
Financial Disclosure (English)
This form is not fillable online, please print it, fill it out and bring it to your visit to expedite your check in.