ADVANCED EYE CARE CENTERS OF CLEVELAND INC. - Patient Forms
ADVANCED EYE CARE CENTERS OF CLEVELAND INC.
Home
Our Practice
Our Services

Patient Forms
Eye Care Articles
Ophthalmolo-what?
Recycle for Sight
Eco-Friendly Practice

Patient Forms

Please complete form 1 and 2 prior to visit. Please also download and review our privacy policy (at the bottom of the screen) for your records.

Please complete this form and form #1 prior to visit.

Please read over our HIPAA privacy notice and bring signed receipt to be placed in your file


  These PDFs require a free plugin that may have come included with your browser. If you are having difficulties opening these files Click Here to go to Adobe's web site for Adobe's PDF reader.


Notice of Privacy Practices