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Online Forms

At Atlantic EyeCare, we value your time. In an effort to save you time in our office, you can download and complete our patient form(s) prior to your appointment.
  • You will need AdobeReader® to download and complete the forms.
  • Download the required form(s). Print out the form(s) and complete the required information.
  • Fax your printed and completed form(s) to our office or bring them with you to your appointment.

Patient Information Form

HIPAA Consent Form

Records Release Form


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Office Hours

Main Office
Monday:
08:45 am - 05:15 pm
Tuesday:
08:45 am - 05:15 pm
Wednesday:
08:45 am - 05:15 pm
Thursday:
08:45 am - 05:15 pm
Friday:
08:45 am - 05:15 pm
Saturday:
Closed
Sunday:
Closed
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Please do not submit any Protected Health Information (PHI).