NOVA EYECARE CENTER

New patient forms

Contact & Insurance Info (pdf)

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Health History (pdf)

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Financial Policy (pdf)

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Please be aware that all new patients are asked to have the Optomap Retinal Screening.

This screening has a cost of $39, and is a requirement for your first appointment. You are welcome to decline this screening in the future. 


To learn more about the Optomap Technology, click the button below.

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Other forms & Information

Special Testing Consent (pdf)

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Dry Eye Evaluation Consent (pdf)

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Release of Information (pdf)

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HIPAA Policy (pdf)

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Medicaid Glasses Providers (pdf)

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Contact Lens Fitting Information (pdf)

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Vision vs Medical Insurance (pdf)

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