Patient Forms
This Welcome Form is an introductory form that all patients are asked to fill out upon their first visit.
| Welcome_to_office_2021.pdf |
This Financial Policy Statement Form is an explanation of our billing policy. This Medical Release form allows Family Vision Care to submit your visit to your insurance on your behalf. All patients are asked to fill out these forms upon their first visit.
| financial_policy_revision.pdf |
This HIPAA Form is an acknowledgment of privacy practicess that all patients are asked to fill out upon their first visit.
| HIPAA Form |