PATIENT FORMS
You can prepare for your appointment in advance by printing and completing the necessary forms provided below. If you prefer to fill them out electronically, you can email the completed forms to info@eyedrhan.com.
Please fill out one patient health form in your preferred language and a dilation consent form (Required)
| Patient Health Form in English |
| Patient Health Form in Chinese |
| Patient Health Form in Vietnamese |
| Patient Health Form in Spanish |
| Dilation Consent Form |
Notice of Privacy Practices (For Your Information)
| Notice of Privacy Practices |
