Patient Forms and Policies

Admissions:

Welcome Form for Admission

Handicap Accessiblility

Privacy:

Notice of Privacy Practices

Authorization for Release of Protected Health Information

Insurance:

Insurance Acceptance Disclaimer

Eyeglasses:

Glasses Care and Warranty Information

Dress Eyewear Warning Notice

Safety Eyewear Warning Notice

Using Your Old Frame or Lenses

PD Measurement and Specification

Ordering Eyeglasses Online

Contact Lenses:

Contact Lens Agreement

Contact Lens Do’s and Don’ts

Medical Records:

Medical Record Transfer Request

Prescription Release