CONSULT FORM
The forms below should be completed by patients scheduled for a consult. Simply print the form, complete all sections, and bring it with you on the day of your scheduled appointment.

Consultation Form

 

EXAM FORMS
The form below should be completed by patients scheduled for an exam. Simply print the forms (5 total), complete all sections, and bring them with you on the day of your scheduled appointment.

Patient Registration Forms

Understanding Insurance- Medical vs Vision

 

RECORDS RELEASE FORM
The form below should be completed by patients who would like to request a copy of their records.  Simply print the form, complete all sections, and send it to us via FAX or Email to info@NewViewLaserEye.com.

Records Release Form

 

NOTICE OF PRIVACY PRACTICES
The document below should be reviewed by all patients for a complete understanding of our privacy practices.  We take the protection of your information very serious and want you to be confident in our ability to do so.

 HIPAA Notice of Privacy Practice Form