Patient Medical History Form

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

HIPAA AGREEMENT

Jim Moore is our Safelock Certified HIPAA professional.

(618) 708-1500

Learn Proper Use & Care for your Contact Lenses

This document is for contact lens wearers!

© 2021 REED Eye Care Center, LLC 

Tel: 618-398-5005

Fax: 618-398-5169

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