Patient Forms
For your convenience, we have made a number of forms available for patients to download. If you are new to our practice, we encourage you to download and print the new patient forms. You will need the following forms: Patient Registration Form, Medical History, Receipt of Notice of Privacy Practices Policy, Patient Authorization Regarding Protected Health Information and Dilation Consent, Additionally for your review, we have posted the Notice of Privacy Practices Policy for Sierra Eye Care.
Filling these out in advance of your first visit will minimize the time you spend in the waiting room completing the forms. Other forms are informational. If your doctor has given you a form with specific information or instructions different from the information on these online forms, rely on the information given to you by your doctor, not on the online forms. If you're not sure which forms you need, please call (916) 423-4040 for assistance or email your questions to questions@sierraeyecare.org
If you're unable to open these files, you probably need to download the free Adobe Acrobat Reader program, which is available at the following location: www.adobe.com/products/acrobat/readstep.html
Click on the forms you would like to download:
New Patient Forms:
- Patient Registration
- Medical History
- Notice of Privacy Practices
- Receipt of Privacy Practices Policy
- Patient Authorization Regarding Protected Health Information
- Dilating Consent
General Information & Forms:
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