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Patient Information > Eye Care of Delaware Forms

Eye Care of Delaware Forms

A.  New Patient Forms (includes):

  • Patient Registration
  • Patient Health Questionnaire
  • Privacy Authorization & Assignment of Benefits
  • Directions

B. New Patient Forms for Screenings or Consultations (ICL, LASIK, RLE):

  • Patient Registration
  • Refractive Surgery Questionnaire
  • Privacy Authorization
  • Directions

C.  Patient Registration Form

  • Established patients who have not been seen in our office for 3 or more years will need to update this registration form.

F.  Care Credit (more information)

  • Link to application for finance company.

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