Avant Optometry - Patient Forms
Avant Optometry
Patient Forms

For both New and Return patients, please print out and complete the forms ahead of time; then bring them with you to your scheduled appointment to help speed up your check-in time. With our new electronic medical records (EMR) system, you will need to fill out this detailed questionnaire one time only; please answer all the questions to the best of your abilities. If you have any questions, do not hesitate to contact us. In addition, please print-out and sign the HIPAA Privacy Policy Receipt below.

Please click on the link below to read our Notice of Privacy Practices. In summary, we will protect and keep confidential all personal information, such as your social security number, that we obtain from you. Print out this page, sign it, and bring it along with the 3-page Welcome Form to your appointment.


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