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Help Make Your Intake Faster

Fill Out Your Forms Ahead

At River Valley Eye Professionals, we want to make your visit as smooth and efficient as possible, starting with your paperwork. To save you time, we offer patient forms online, allowing you to complete them at your convenience—whether at home or in the office. By filling out these forms ahead of time, you can spend less time in the waiting room and more time focusing on your eye care.

  1. Select the necessary form(s) from the below list, download them, and print them out.
  2. Complete the required information at your convenience.
  3. You can either fax or email the completed forms to us or bring them with you to your appointment.

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Patient Information Form...........................................

Download Patient Form
Medical History Form.................................................
Download Medical Form
HIPAA Compliance Patient Consent Form.............
Download HIPPA Form
Records Release Form – From.................................
Download Release "From" Form
Records Release Form – To.......................................
Download Release "To" Form