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Patient Forms

For your convenience, we have made a number of forms available for patients to download. Click on the forms you would like to download:

New Patients:

Demographics

Medical History

HIPPA Consent

 

LASIK Patients

Medical Conditions Identified during LASIK Evalution

Activities

 

Surgery Consent Forms:

 

LASIK

PRK

 

Post-operative instructions:

LASIK

PRK


LIPSTOCK Lasik & Cataract Center
WESTERRE COMMONS
3701 Westerre Parkway, Suite A
Richmond, Virginia 23233

PH: 804-288-1543 | 800-NEWVISION | FAX: 804-285-2375
EMAIL: info@lipstocklaser.com

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