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Online Patient Registration Form

Please complete the information below and submit the form online, or if you prefer print out the form after full or partial completion, and bring it when you come to our office. This form contains confidential information and is delivered to your doctor through a secure Internet connection.

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Announcement:

Per CDC guidelines, we will once again be scheduling routine eye examinations for glasses and contact lenses. We thank all of you for your patience and understanding in postponing non-essential care over the last six weeks. Of course, we continue to be available for any medically related eyecare needs. The health and safety of our staff and patients continue to be of the utmost importance, so we will be using CDC recommended precautions for cleaning and social distancing. We ask that you wear a mask or face covering into the office. If you have any symptoms of COVID-19 or have recently been exposed to anyone with COVID-19, we ask you to postpone your appointment.

Thank you for your support and for allowing us to serve you and your families.

We look forward to seeing all of you soon.

Best regards,

Dr. Kent Voyce