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The forms below should be printed, completed, and brought with you to your first exam:

New Patient Intake Form

Notice of Privacy Practices

Cancellation & No Show Policy

Contact Lens Agreement (Contact lens patients only)

Release of Information

Dry Eye SPEED Questionaire (Patients 18+ years only)


 

LipiFlow/LipiView Forms:

Procedure Preparation Instructions

Blinking Exercises

 

You will need Adobe PDF Reader to view these forms.  Click here to download the software.

  
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