Patient Forms and Policies

Admissions

• Welcome Form for Admission
• Handicap Accessiblility

Privacy

• HIPAA Notice of Privacy Practices
• HIPAA Authorization

Insurance

• Insurance Acceptance Disclaimer

Contact Lenses

• Contact Lens Agreement
• Contact Lens Do’s and Don’ts

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

Medical Records

• Medical Record Transfer Request
• Prescription Release