Patient Forms and Policies

Admissions:

Admission Welcome and History

Handicap Accessiblility

Privacy:

Notice of Privacy Practices

Private Communication Parties Authorization

Private Communication Methods Authorization

Private Communication Change Authorization

Insurance:

Insurance Acceptance Disclaimer

Medicare Refraction Disclaimer

Eyeglasses:

Eyeglasses Care and Warranty Guide

Dress Eyewear Warnings

Safety Eyewear Warnings

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 Records Transfer

Prescription Release