At Vision Care and Surgery Associates, we value your time. In an effort to save you time in our office, you can download and complete our patient form(s) prior to your appointment.
- You will need AdobeReader® to download and complete the forms.
- Download the required form(s). Print out the form(s) and complete the required information.
- Fax your printed and completed form(s) to our office or bring them with you to your appointment.
Notice of Privacy
Notice of Privacy Practices.pdf.pdf
Adobe Acrobat Document 2.4 MB
Acknowledgment of Receipt (English)
Acknowledgement of Receipt (English).pdf
Adobe Acrobat Document 318.0 KB
Acknowledgment of Receipt (Spanish)
Acknowlegment of Receipt(Spanish).pdf
Adobe Acrobat Document 397.1 KB
Patient Information Form
Adobe Acrobat Document 799.2 KB