FORMS - Patient Registration

 In order to expedite your registration to our practice, we ask that you CLICK HERE or click on
 the picture to the left and print the patient registration forms and fill them in before your
visit to save time.


                            Registration form CLICK HERE
                            Medication list form CLICK HERE
                            Financial policy CLICK HERE                 
                            Pediatric Health Questionnaire CLICK HERE
                            Adult Health Questionnaire CLICK HERE                           
                            Records Release CLICK HERE a possible $20 charge depending on record size.
 

Please bring the following items to your first visit at Medical Eye Services:

Photo ID
Current Insurance cards
Medication list including strengths/dosage
Any outside films and/or diagnostic reports
Lab results
Printed and completed Patient Registration Form

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