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Newpatientforms
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Thank you for choosing Atlantic Eye Institute.  If you are a NEW patient, please print or complete all forms listed below and bring them with you to your appointment. 

Medical History Questionnaire

New Patient Information Form

Financial Agreement

Consent to Disclose Health Information

Notice to Patients

Services Available In Our Office

Communication Release Form

“Our staff is experienced, courteous and professional in meeting all of the needs of our patients!”

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Fill out our form to schedule your free LASIK exam.

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