Wednesday, February 22, 2012 (903) 892-2020

Long Vision Center wants to make sure that you and your family have a positive experience from the very start. By completing these forms out before your visit, your time in our waiting room may be reduced. To download, please click on the name of the document and it will print to your printer!

Please read the Long Vision Center Office Policy. You may print and keep this page for your records, but it is not necessary as we have it at our office for your review any time. Print the other three pages, fill them out, and bring them with you to your appointment. Please arrive at least 15 minutes early.

If possible, you may fax these forms to our office prior to your visit so the information can be entered in the computer and we will be ready for your arrival. Our fax number is 903-892-0633. Thank you so much!

If you have any questions about them; please pick up the phone and call us right away. That number is (903) 892-2020.

You will need the Adobe Acrobat Reader, which is available for free download, to view these files. If you need to download the Adobe Acrobat Reader click on the form title below to begin the download.

Title Description Type Size
2012 New Patient Demographic Click On Form Title To Download pdf 61.16Kb
2012 Patient Registration Click On Form Title To Download pdf 118.53Kb
Long Vision Center Office Policy Click On Form Title To Download pdf 78.22Kb
Dilated Consent Form February 2012 Click On Form Title To Download pdf 96.98Kb
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