Notice of Privacy Practices (read only)
Please carefully review this documentation.
Acknowledgement of Receipt of Privacy Practices (print and sign)
After reading the ‘Notice of Privacy Practices’ above, please bring this completed form with you to your first appointment with us.
Authorization for Release of Health Information (print, sign, fax or mail)
If you would like to have your records sent to our practice from another healthcare provider’s office, please send this form to your previous doctor/facility (not to Kaster Eye Clinic).