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Patient Forms

Please print these forms, fill them, and bring them with you to your next visit.

If you have any questions please give us a call @ 123.456.7890

Thank you!

Forms Packet

New Patient Resource Packet (PDF)
HIPAA Policy (PDF)
Privacy Policy (PDF)

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Contact Information

My Eyecare Practice

1234 US Route 1
Anywhere, USA 56789
Call: (123) 456-7890
info@myeyecarepractice.com

Office Hours

Monday 8:00 am – 5:30 pm
Tuesday 8:00 am – 5:30 pm
Wednesday 8:00 am – 5:30 pm
Thursday 8:00 am – 5:30 pm
Friday 8:00 am – 5:30 pm

Patient Resources

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