ACKNOWLEDGMENT OF OFFICE POLICIES & FINANCIAL RESPONSIBILITY NOTICE RELEASE FORM FOR USING PATIENT’S OWN EYEGLASS FRAMES AUTHORIZATION TO RELEASE PROTECTED HEALTH INFORMATION MINOR CONSENT FORM CONSENT TO RELEASE PROTECTED HEALTH INFORMATION TO SPECIFIC INDIVIDUALS REFRACTION FEE NOTICE NOTICE OF CONTACT LENS FITTING FEES ACKNOWLEDGEMENT OF RECEIPT NOTICE OF PRIVACY PRACTICES AUTHORIZATION & CONSENT TO TREAT EYEGLASS LENS MATERIAL DUTY TO WARN/PATIENT REJECTION AND WAIVER FORM
