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Online Forms

We value your time. In an effort to streamline the administrative process upon your arrival, you can download and complete our new or returning patient form prior to your appointment.

You will need AdobeReader® to download the forms. 

  • Download the required form.
  • Print out the form and complete the required information.
  • Email the completed form to our office at CrystalClearImage1@gmail.com or bring it with you to your appointment.

New Patient Health History Form 

Download & Print Form


Established Patient Health History Form 

Download & Print Form


Download the Free AdobeReader®

Office Hours

Monday:

9:00 am

6:00 pm

Tuesday:

9:00

6:00

Wednesday:

Closed

Closed

Thursday:

9:00 am

6:00 pm

Friday:

9:00 am

2:00 pm

Saturday:

9:00 am

2:00 pm

Sunday:

Closed

Closed

Location

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