Effingham Eye Care                                                                                                                 (912) 826-3949

Office Forms

We ask that all of our new patients fill out a patient registration form.  The completed form can be printed and brought with you to your appointment, or you may fax the completed form to our office at (888) 810-2083.  If you are unable to complete the form prior to your exam date, please arrive 20 minutes before your scheduled appointment time so that you can be seen in a timely manner.

 


Patient Registration Form

 Record Release Form  (for patients who need to transfer their records from another practice)

 Tricare Benefits Explanation  (for patients who have Tricare as their primary insurance)

 

 

 

 

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