Visit our page http://www.losgatosoptometrist.com/contact-us/notice-of-privacy-practices/ for a copy of our Notice of Privacy Practices (NPP).

Please print out the “Receipt of NPP” form and bring it to your first appointment along with your “Welcome Form Page 1, and Welcome Form Page 2″.

Receipt of Notice of Privacy Policies & Consent Form

Welcome Form Page 1

Welcome Form Page 2

http://www.adobe.com/products/acrobat/readstep2.html

Our Forms are in PDF format and require a free plugin that may have come included with your browser. If you are having difficulties opening these files Click Here to go to Adobe’s web site for Adobe’s PDF reader.

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