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Patient Forms – Envision Optique

>>NEW PATIENTS TO THE OFFICE or IF SEEN MORE THAN TWO YEARS AGO:

1) COVID-19 Pre-Screening Questionnaire

2) Consent Form - English or Spanish

3)  History Form - English or Spanish

 

>>PREVIOUS PATIENTS - SEEN LESS THAN 2 YEARS AGO:

1) COVID-19 Pre-Screening Questionnaire

2) Consent Form - English or Spanish

 

COVID-19 Pre-Screening Questionnaire Only

*Notice of Our Privacy Practices

Envision Optique Privacy Practice – English
Envision Optique Privacy Practice – Spanish

 

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Please Note our Special Holiday Hours for the Week of 11/22/21: Mon 11/22 – Open 10am to 6pm | Wed 11/24 – Open 9am – 2pm | Thurs – Sat 11/25-27 – Closed