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Practice Policies

We know patients have several options when choosing a vision care provider. We would like to express our sincere appreciation for having had the chance to be yours. We are committed to providing the best vision care possible and it is a pleasure to serve you. It is necessary that we inform you about your responsibility for the services we provide. Please do not hesitate to ask one of our staff members if you have any questions about our fees, policies, and/or your responsibilities. We can provide you with a copy of this document upon request.

Please carefully read and sign below:
PAYMENT FOR SERVICES AND MATERIALS CONSENT(Required)
Patient Name(Required)
MM slash DD slash YYYY
CONTACT LENS EVALUATIONS AND EXAM FEES CONSENT(Required)