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NEW PATIENT REGISTRATION

Save Time at Check-In

Click on the links below to print and fill-out the NEW Patient Registration Forms.

 

Printable Forms

Printable Patient Forms

Printable forms available for your convenience. To expedite your registration at the Rand Eye Institute, for your convenience, we are posting the necessary forms for you to download.

Please follow the instructions below:

1. Download the three forms below.

2. Print and fill them out.

3. Bring the completed forms with you on the day of your appointment.

4. Submit the forms at the front desk.

 

Thank you for choosing the Rand Eye Institute

 

Please Note: To view and print the forms you need Adobe Acrobat Reader available free

 

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