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Female patient eye exam
New Patient Forms

Patient Medical History Form

Please fill out forms online and they automatically get sent to our office! These are HIPAA protected!

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Click to Fill Out
Signing a Contract
Notice Of Privacy Practices

HIPAA AGREEMENT

Jim Moore is our Safelock Certified HIPAA professional.

(618) 708-1500

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contact eye.jpg
Contact Lens Care & Instructions

Learn Proper Use & Care for your Contact Lenses

This document is for contact lens wearers!

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