Forms Download
We have made our new patient forms available to you as Adobe Acrobat files. For your convenience, we recommend printing and completing these forms at home.
Please remember to bring your completed forms with you for your first appointment. If you have any problem getting these files to print properly, please call our Dayton office and we will gladly mail or fax them to you.
Instructions: Please click on the name of any form you wish to open. Once opened, press the "PRINT" button to print the form.
- Medical History/Physical Form (pdf, 90 kb)
- Patient Registration Form (pdf, 25 kb)
- Notice of Privacy Practices (pdf, 159 kb)
- Cataract Surgery Consent Form (pdf, 134 kb)

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