EASY & SECURE

Online Forms for a Faster Check-In

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Medical Forms

Please read or print and fill out any necessary forms below.

Notice of Privacy Practices

Medical History Questionnaire

Authorization for Release of Indentifying Health Information

Records Release Form

HIPPA Release Form

Check Your Benefits

At Advanced Eye Care, we are in network with several different insurance plans. Below are the most common insurance plans that we honor, although they may vary by location and provider. If your insurance is not listed, please give us a call to see if we can honor your plan.