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Forms & Documents

At Evergreen Eye Center, we’re dedicated to providing not just the highest-technology eyecare; we are committed to making your care as efficient and pleasant as possible. This includes making available our new patient documents and other materials that can save you time and help you be more informed and engaged.

Click on the appropriate form or document below to download it.

Medical History Form
Dry Eye Questionnaire
HIPAA Policy
PHI Disclosure Form

Adobe Reader is required to view and print these files. You can download Adobe Reader here.

Contact Us

Phone: 800-340-3595    Fax: 855-929-1515

Please do not include personal identifying information such as your birth date, or personal medical information in any emails you send to us.

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