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Home » Contact Us » Patient Welcome Form

Welcome to Our Office

For faster service, please complete the following form prior to arriving at our office.

  • I authorize the release of any medical information necessary to provide the most beneficial and complete visual examination. I understand that I am financially responsible for all charges whether or not paid by insurance. Payment is due at the time services are rendered.
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Our office will close for training at noon on Tuesday, 5.14 and we will reopen on Wednesday, for regular hours.