FORMS

Download Now (Opens with Adobe Acrobat Reader)

Please print these forms and bring them along with your insurance cards and picture ID to your appointment.

PATIENT REGISTRATION & HEALTH HISTORY FORMS

For New Patients

Download

FINANCIAL POLICY, RETINAL IMAGING/DILATION, AND HIPAA DISCLOSURE FORMS

For New and Existing Patients

Download

HIPAA POLICY

Please Read and Keep for Your Records

Download
 

©2021 by Dr. Thomas Tsai, O.D., PLLC & Associates.