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PATIENT
FORMS

A list of available forms are below. Please click the 'Download Form' button next to each file you would like to download.

IMP BROCHURE

ADVANCED DIRECTIVES PACKET

MEDICAL RECORDS REQUEST
[ ESTABLISHED PATIENTS ONLY ]

Authorization for use or disclosure of protected health information.

NEW PATIENT PACKET

NOTICE OF PRIVACY PRACTICES

RETINAL EYE EXAM TRACKING FORM

URGENT CARE & AFTER HOURS CALLS

NOTICE: BROKEN APPOINTMENT FEE

NOTICE: IMP OFFICE POLICIES

NOTICE: 
PREVENTATIVE VISITS

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