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Patient Forms

Registration Form

Download the Patient Registration Form with the link above. Open with Adobe Reader, fill out all the information and print to bring to the office before your visit.

Hauser-Ross Eye Institute

Patient Medical History Form

Consent for Care and Treatment

Notice of Billing Practices

Privacy Practices Acknowledgement

Hauser-Ross Optical

Patient Medical History Form

Consent for Care and Treatment

Notice of Billing Practices

Privacy Policy Acknowledgement

Lawrence Eye Care – Hauser-Ross Eye Institute

Patient Medical History Form

Consent for Care and Treatment

Notice of Billing Practices

Privacy Policy Acknowledgement

Hauser-Ross Eye Institute – VZN Eyecare

Patient Medical History Form

Consent for Care and Treatment

Notice of Billing Practices

Privacy Policy Acknowledgement