It is always our goal at Kunesh Eye Center Inc to give you the eye care you deserve in a timely manner. In order to ensure that your first visit goes smoothly, you may want to complete the forms below prior to your visit. You can even fax us your forms or drop them off prior to your appointment to speed up your first visit.
- Welcome Letter Review
- Patient Registration Download & Print
- Patient History Record Download & Print
- Consent for Release of Medical Information Download & Print
- Acknowledgement of Receipt of Privacy Practices Download & Print
- Patient Privacy Practices Review
- Non-Discrimination Policy Review
- Financial Policy and Billing Processes Download & Print
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