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Patient Forms

Downloadable patient forms that you can print and fill out before your next visit to Advanced Family Eyecare in Oklahoma City.

For your convenience, we have created the following page of several downloadable forms to save you time at your next appointment. Please print, complete, and email forms to at least 24 hours before your scheduled appointment.

Downloadable Forms

Adult History Package [PDF]

Child History Package [PDF]

Privacy Practices [PDF]

Authorization for Release of Information [PDF]

Report Request Form [PDF]

Vision Rehab Questionnaire [PDF]

Diagnosis Codes & Fees

CPT Code Descriptions [PDF]

Diagnosis Code Descriptions [PDF]