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To shorten your time in the waiting room, Dr. Tozer has made several forms available online that you can fill out before your office visit.
- Patient Information Sheet
This form will help us collect all of your personal information. This form is required for all new patients.
Download Form (PDF)
- Medical History Form
This form will help us gain an understanding of your medical history. This form is required for all new patients.
Download Form (PDF)
- Release of Medical Records
This form will help us procure your medical records from your existing primary care physician. This form is required for all new patients.
Download Form (PDF)
- Refraction Form
This form must be completed and signed if you are considering a refraction test for glasses and/or corrective lenses.
Download Form (PDF)
- Privacy Notice
Please review our privacy notice carefully. This form is for your records.
Download Form (PDF)
- Acknowledgement of Privacy Notice
You must complete this form to indicate that you have read and understand the privacy notice. This form is required for all new patients.
Download Form (PDF)
NOTE: Our forms are presented in PDF format. To view and print these files, you will need the Adobe Acrobat Reader. The Adobe Reader is free software that lets you view Adobe Portable Document Format (PDF) files.
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