HERTZOG FAMILY EYE CARE
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  • Home
  • Important Announcement
  • About Us
    • Location
    • Our Doctors
    • Services
    • Social Media
  • Reviews
  • Contact Us
  • Pay Your Bill
  • Order Contacts
  • Appointments
    • Forms
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YOUR CART

​Forms


Option 1.  Fill out forms securly online:

Secure Online Welcome form and financial policy

Option 2.  Print, fill out forms, and bring to your appointment:

Welcome Form
File Size: 232 kb
File Type: pdf
Download File

Financial Policy
File Size: 13 kb
File Type: docx
Download File

Contact Lens Fitting and Evaluation
File Size: 11 kb
File Type: docx
Download File

Personal Information Release
File Size: 289 kb
File Type: pdf
Download File

Notice of Privacy Practices
File Size: 80 kb
File Type: docx
Download File

Refund/Return Policy
File Size: 47 kb
File Type: docx
Download File


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