Forms
Refractive Surgery Questionnaires
New Patient Forms
- New patient information sheet 2-21-13
- AECA Payment policy-assign benefits-refraction-HIPAA 3-3-2013
- HIPAA policy notice
(please read but it is not necessary to print-out)
Established Patient Forms
All forms are in Adobe PDF format
Use this link to download the Free Adobe Acrobat Software ![]()
North Office


