Image

Pre-Office Patient Forms

Downloadable PDF files to save time while at the Kunesh Eye Center

FrontDesk

Click each document and print them out on your printer. Fill them out while at home and bring them with you to your appointment.

Patient Forms:
>> Welcome Letter
>> Patient Registration
>> Patient History Record
>> Consent for Release of Medical Information
>> Refractions
>> Acknowledgement of Receipt of Privacy Practices
>> TCPA Consent
>> Patient Privacy – no need to bring to appointment; for your records
>> Non-Discrimination Policy – no need to bring to appointment; for your records