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B e c a u s e T h e r e ' s S o M u c h T o S e e
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Filling out forms can be time consuming. If it is your first visit to our office, please click the link below so that your history will be ready to review during your appointment. If you are an existing patient we will generate a "passcode" that you can enter to review all of the information that we have on file for you.
Medical History (click here to print a paper copy)
HIPAA Privacy Policy
We respect our legal obligation to keep health information that identifies you private. We are obligated by law to give you notice of our privacy policies. This Notice describes how we protect your health information and what rights you have regarding it. Please take a moment to review it and ask us if you have any questions or concerns.
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Alternative to dilation
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CLICK HERE TO FILL OUT ONLINE
(Please avoid leaving fields blank in the history section.)
Existing patients: enter passcode in box and click "submit query".
We want your eye exam to be as pleasant as possible. We would also like you to be well informed of our procedures before you visit so that you may plan accordingly. Our doctors prefer the Optomap Retinal Exam for every patient, every year. This is NOT covered by insurance and is currently $39 in addition to your copays. (It IS INCLUDED if you are not using insurance.) If you prefer NOT to have the optomap, we will ask you to dilate your eyes. For more information see the "Alternative to Dilation" link to the right.
PLEASE BE ADVISED:
Information regarding billing
We would like you to be as informed as possible before your visit so that we may answer any questions that you may have before your exam. This page discusses our billing policies and information regarding how we must file your insurance. There is also a section for contact lens wearers, if applicable to you. We have more information available to you upon request if you feel any need for clarification.
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