It is always our goal at Twelve Bridges Vision Care 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.
New Patient Registration Form – Required
Please complete this form as it lets us know the history and current state of your health. Let us know what questions, concerns, and goals you have regarding your eye health or vision on the form.
HIPPA – Notice of Privacy Practices
If you would like to understand our privacy policies, we have included a copy of our HIPPA Notice of Privacy Practices for your review.
Consent to Share Health Information
If you would like consent to disclose your health information with another party (eg. a family member), please print and complete the Consent to Share Health Information form.
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