Patient Forms

New Patient Information - Authorization to Disclose InformationRequired for all new patients
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New Patient Information - Notice of PrivacyRequired for all new patients
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New Patient Information - Past History Information Sheet FPFor Patients of Dr. Glover, Dr. Slechta, Dr. Hartvickson and Dr. Naccarato
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New Patient Information - Past History Information Sheet - Adult - Dr LindholmFor Adult Patients of Dr. Lindholm
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New Patient Informatio - Past History Information Sheet - Under 8 - Dr LindhomFor Patients of Dr. Lindholm, age 8 and under
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New Patient Information - for patients of Dr. Qamar - Past History Information SheetFor Patients of Dr. Qamar
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New Patient Information - Credit and Collections PolicyCredit and Collections Policy
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New Patient Information - KSHAA Physical Exam KSHAA Physical Exam
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Ophthalmology - New Patient Check In SheetNew Patient Check In Sheet
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Ophthalmology - Beta Blockers for the Treatment of GlaucomaEye Medication Information Sheets
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Ophthalmology - Alpha Agonists for the Treatment of GlaucomaEye Medication Information Sheets
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Ophthalmology - Prostaglandin Analogs for the Treatment of GlaucomaEye Medication Information Sheets
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Ophthalmology - Carbonic Anhydrase Inhibitors (CAIs) for the Treatment of GlaucomaEye Medication Information Sheets
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Ophthalmology - Carbonic Anhydrase Inhibitors (CAIs)Ophthalmology - Carbonic Anhydrase Inhibitors (CAIs) for the Treatment of Glaucoma
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More Ophthalmological Information - Amsler Grid and InstructionsAmsler Grid and Instructions
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More Ophthalmological Information - Contact Lens Risk InformationContact Lens Risk Information
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More Ophthalmological Information - Floaters and FlashesFloaters and Flashes
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More Ophthalmological Information - Fluorescein AngiographyFluorescein Angiography
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More Ophthalmological Information - YAG Laser Posterior CapsulotomyYAG Laser Posterior Capsulotomy
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Obstetrics - Forms For Initial Obstetrics VisitForms For Initial Obstetrics Visit
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Application for EmploymentApplication for Employment
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