Patient Information Sheets

Please complete and bring your forms to your initial visit in order to save time with registration.

Patient Registration

Visit patient registration page.

HIPAA Consent Form

Download HIPAA Consent Form

Medical History Questionnaire

Download Questionnaire

Patient Information Sheet

Download Patient Info Sheet

Lipiflow Speed Questionnaire

Download SPEED II Questionnaire

Medical Release Form

Download Medical Release Form

Privacy Policy

Notice of Privacy Practices and Patient Bill of Rights

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