Patient information and forms are available for you to download, print, fill out, sign and return on your next visit. 

 

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PATIENT INFORMATION & FORMS

Assignment of Medicare Benefits

Cataract Surgery Questionaire

Financial Assignment Sheet

HIPAA Notice of Privacy Practices

Patient Information Sheet

Patient Medical Information

 

 


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Columbus Eye Associates

 Columbus  979-732-5771          Katy  281-829-3937          La Grange  979-968-3953          Sealy  979-885-0665

 Quality Eye Care Since 1953

 

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