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FORMS

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

These Forms Require Adobe Acrobat Reader to Properly Open. Click Here to Download Adobe Acrobat Reader

  • PATIENT REGISTRATION

  • FINANCIAL POLICY

  • MEDICAL vs VISION INSURANCE

  • HIPAA DISCLOSURES

  • RETINAL IMAGING/DILATION

  • HEALTH HISTORY FORMS

For New Patients

  • FINANCIAL POLICY

  • MEDICAL vs VISION INSURANCE

  • RETINAL IMAGING/DILATION  FORMS

For Existing Patients

NOTICE OF PRIVACY PRACTICES

Please Read and Keep for Your Records

Forms: Files

©2023 by Dr. Thomas Tsai, O.D., PLLC & Associates.

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