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PATIENT FORMS
For your convienence, new patient forms can be found online and filled out prior to your eye exam.
Forms may also be filled out at the office when you come in for your exam.
If you have any questions regarding the forms below please call the office at 316.688.0973 or you can send your questions by email: e-mail us
Click on the buttons below to fill out your new patient form and to read the office privacy policy.
Fill out Patient Form
Notice of Privacy Practices