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Select a Form to Print and Complete

New Patients  = New or 3+ years since last exam at Spectrum Eye Care.

Established Patients = Not New (see above).

Minor Patients = 17 years or younger.

Records Release from Other Healthcare Providers to Spectrum Eye Care

New Patients                                     Returning Patients                          
 

Adult - English
English

Minor - English
Spanish

Adult - Spanish

Minor - Spanish