FORMS

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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

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

For New and Existing Patients

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HIPAA POLICY

Please Read and Keep for Your Records

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©2020 by Dr. Thomas Tsai, O.D., PLLC & Associates.