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FREE OPTOMAP FOR NEW PATIENTS WHEN YOU MENTION THIS OFFER!

Online Forms

At Shafer Vision Care, 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 AdobeReaderĀ® to download and complete the forms. Click here to download.
  • Download the required form(s). Print out the form(s) and complete the required information.
  • Fax or email your completed form(s) to our office or bring them with you to your appointment.

Patient Information Form

Download & Print Form


Notice of Privacy Practices

Download & Print Form


Optomap & OCT Retinal Imaging

Download & Print Form


Medical Records Release

Download & Print Form


Download the Free AdobeReaderĀ®