Office Forms

 

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1.  Registration Forms  Please download the form & fill it out prior to your appointment.  You may bring it in, fax or email it to us to speed up your exam.  (480) 812-1884 fax, sunvalleyeyecare@gmail.com

 

2.  Contact Lens Survey (For current CL wearers only)

 

3.  Lifestyle Questionnaire  This form is to help us understand how to help you with your eyewear needs.

 

4.  Eyeglasses Wearing Schedule/Maintenance Guide:  This form is to help you get the best function out of your glasses.

 

5.  Contact Lens Wearing Schedule  This form is to help patients on proper wearing of contact lenses.

 

6.  Warranty Information on glasses  Warranties may apply to your purchase of frames/lenses.  You will be informed if your purchase doesn't come with a warranty in the event you want to purchase one.

 

7.  Waiver to release records/Rx  Used to request records sent to you/provider of your choice, or request records sent to us.

 

8.  Notice of Privacy Practices                                                                                  .

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This site was last updated 08/08/09 by Dr. Loc Pham