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Eye Physicians of Orange County, PC |
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1 Hatfield Lane, Suite 3 Goshen NY 10924 845∙294∙5128 845∙294∙1479 (fax) |
8 Forester Avenue 845∙987∙1203 845∙987∙1587 (fax) |
845 Rt .17M Monroe, NY 10950 845∙782∙0129 845∙782∙3619 (fax) |
| Directions | Doctors |
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Please print out each of the following forms, fill them out, and bring them with you to your first visit. It will save you time when you come to the office. You can use your browser's back button after printing each form to get back to this screen or you can select each form using the navigation buttons provided. The navigation "Up Button" will get you back to this screen.
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| Form1: Payment Acknowledgment | |
| Form2: Payment Guarantor | |
| Form3: Medical History | |
| Form4: Patient Consent | |
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