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Patient Forms

Download the Patient Forms via the links outlined below. Open them with Adobe Reader, fill out all the information, print them, and bring them to the office for your visit. 

Hauser-Ross Eye Institute

Consent for Care and Treatment 

Patient Intake Forms 

Medical Records Release

Hauser-Ross Optical

Consent for Care and Treatment 

Patient Intake Forms 

Medical Records Release

Lawrence Eye Care – Hauser-Ross Eye Institute

Patient Medical History Form

Consent for Care and Treatment – ENG | ES

Notice of Billing Practices – ENG | ES

Privacy Practices Acknowledgement – ENG | ES