{"id":254,"date":"2019-08-28T18:00:40","date_gmt":"2019-08-28T18:00:40","guid":{"rendered":"https:\/\/www.medicaleyecenter.com\/?page_id=254"},"modified":"2019-09-26T18:14:25","modified_gmt":"2019-09-26T18:14:25","slug":"forms","status":"publish","type":"page","link":"https:\/\/www.medicaleyecenter.com\/resources\/patient-information\/forms\/","title":{"rendered":"Forms"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"254\" class=\"elementor elementor-254\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-3abfd69 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"3abfd69\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-15e78e7\" data-id=\"15e78e7\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-e35d4bd elementor--h-position-center elementor--v-position-middle elementor-widget elementor-widget-slides\" data-id=\"e35d4bd\" data-element_type=\"widget\" data-settings=\"{&quot;navigation&quot;:&quot;none&quot;,&quot;transition&quot;:&quot;fade&quot;,&quot;transition_speed&quot;:500}\" data-widget_type=\"slides.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-swiper\">\n\t\t\t<div class=\"elementor-slides-wrapper elementor-main-swiper swiper\" dir=\"ltr\" data-animation=\"fadeInUp\">\n\t\t\t\t<div class=\"swiper-wrapper elementor-slides\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"elementor-repeater-item-588c5a5 swiper-slide\"><div class=\"swiper-slide-bg\" role=\"img\"><\/div><div class=\"elementor-background-overlay\"><\/div><div class=\"swiper-slide-inner\" ><div class=\"swiper-slide-contents\"><div class=\"elementor-slide-heading\">Patient Forms<\/div><\/div><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-63f5bff elementor-widget elementor-widget-text-editor\" data-id=\"63f5bff\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\tTo better serve you, Medical Eye Center\u2019s patient forms are available online. They can be printed and filled out beforehand, then brought to your visit. Please give them to us when you check in for your appointment along with a list of your current medications, insurance card and drivers license or other photo ID.<\/span><\/h1>\n<strong>Click to download these PDF forms<\/strong>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-1f50af5 elementor-section-content-top elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"1f50af5\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-inner-column elementor-element elementor-element-a6714d9\" data-id=\"a6714d9\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-931f0ba elementor-view-default elementor-position-top elementor-mobile-position-top elementor-widget elementor-widget-icon-box\" data-id=\"931f0ba\" data-element_type=\"widget\" data-widget_type=\"icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-icon-box-wrapper\">\n\t\t\t\t\t\t<div class=\"elementor-icon-box-icon\">\n\t\t\t\t<a href=\"https:\/\/www.medicaleyecenter.com\/wp-content\/uploads\/2019\/09\/Notice-of-Privacy-Practices-MEC-MEO-LSEC-SPA-0913-3-2.pdf\" target=\"_blank\" class=\"elementor-icon elementor-animation-\" tabindex=\"-1\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-file-download\"><\/i>\t\t\t\t<\/a>\n\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"elementor-icon-box-content\">\n\t\t\t\t<h3 class=\"elementor-icon-box-title\">\n\t\t\t\t\t<a href=\"https:\/\/www.medicaleyecenter.com\/wp-content\/uploads\/2019\/09\/Notice-of-Privacy-Practices-MEC-MEO-LSEC-SPA-0913-3-2.pdf\" target=\"_blank\" >\n\t\t\t\t\t\tNotice of Privacy Practices Form\t\t\t\t\t<\/a>\n\t\t\t\t<\/h3>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-inner-column elementor-element elementor-element-cc63a71\" data-id=\"cc63a71\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5161277 elementor-view-default elementor-position-top elementor-mobile-position-top elementor-widget elementor-widget-icon-box\" data-id=\"5161277\" data-element_type=\"widget\" data-widget_type=\"icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-icon-box-wrapper\">\n\t\t\t\t\t\t<div class=\"elementor-icon-box-icon\">\n\t\t\t\t<a href=\"https:\/\/www.medicaleyecenter.com\/wp-content\/uploads\/2019\/09\/Notice-of-Privacy-Policy-2013.pdf\" target=\"_blank\" class=\"elementor-icon elementor-animation-\" tabindex=\"-1\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-file-download\"><\/i>\t\t\t\t<\/a>\n\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"elementor-icon-box-content\">\n\t\t\t\t<h3 class=\"elementor-icon-box-title\">\n\t\t\t\t\t<a href=\"https:\/\/www.medicaleyecenter.com\/wp-content\/uploads\/2019\/09\/Notice-of-Privacy-Policy-2013.pdf\" target=\"_blank\" >\n\t\t\t\t\t\tNotice of Privacy Practices Acknowledgement Form\t\t\t\t\t<\/a>\n\t\t\t\t<\/h3>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-inner-column elementor-element elementor-element-fa4d69c\" data-id=\"fa4d69c\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-d5b5869 elementor-view-default elementor-position-top elementor-mobile-position-top elementor-widget elementor-widget-icon-box\" data-id=\"d5b5869\" data-element_type=\"widget\" data-widget_type=\"icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-icon-box-wrapper\">\n\t\t\t\t\t\t<div class=\"elementor-icon-box-icon\">\n\t\t\t\t<a href=\"https:\/\/www.medicaleyecenter.com\/wp-content\/uploads\/2019\/09\/Family.Friends.Phone-Consent-1.pdf\" target=\"_blank\" class=\"elementor-icon elementor-animation-\" tabindex=\"-1\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-file-download\"><\/i>\t\t\t\t<\/a>\n\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"elementor-icon-box-content\">\n\t\t\t\t<h3 class=\"elementor-icon-box-title\">\n\t\t\t\t\t<a href=\"https:\/\/www.medicaleyecenter.com\/wp-content\/uploads\/2019\/09\/Family.Friends.Phone-Consent-1.pdf\" target=\"_blank\" >\n\t\t\t\t\t\tFriends \/ Family \/ Phone Consent\t\t\t\t\t<\/a>\n\t\t\t\t<\/h3>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<div class=\"elementor-element elementor-element-56e4389 elementor-widget elementor-widget-text-editor\" data-id=\"56e4389\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>NOTE: These forms are provided for your convenience and to help expedite your visit. However, providing your health information prior to your visit does not establish a patient\/doctor relationship. A relationship is established only when you have been seen by your provider.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Patient Forms To better serve you, Medical Eye Center\u2019s patient forms are available online. They can be printed and filled out beforehand, then brought to your visit. Please give them to us when you check in for your appointment along with a list of your current medications, insurance card and drivers license or other photo &#8230; <a title=\"Forms\" class=\"read-more\" href=\"https:\/\/www.medicaleyecenter.com\/resources\/patient-information\/forms\/\" aria-label=\"More on Forms\">Read more<\/a><\/p>\n<div class='the_champ_sharing_container the_champ_vertical_sharing the_champ_hide_sharing the_champ_bottom_sharing' style='width:44px;left: -10px;top: 300px;-webkit-box-shadow:none;box-shadow:none;' data-super-socializer-href=\"https:\/\/www.medicaleyecenter.com\/wp-json\/wp\/v2\/pages\/254\"><div class=\"the_champ_sharing_ul\"><a aria-label=\"Facebook\" class=\"the_champ_facebook\" href=\"https:\/\/www.facebook.com\/sharer\/sharer.php?u=https%3A%2F%2Fwww.medicaleyecenter.com%2Fwp-json%2Fwp%2Fv2%2Fpages%2F254\" title=\"Facebook\" rel=\"nofollow noopener\" target=\"_blank\" 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xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"100%\" height=\"100%\" viewBox=\"-2 -2 35 35\"><path fill=\"#fff\" d=\"M16.539 4.5c-6.277 0-9.442 4.5-9.442 8.253 0 2.272.86 4.293 2.705 5.046.303.125.574.005.662-.33.061-.231.205-.816.27-1.06.088-.331.053-.447-.191-.736-.532-.627-.873-1.439-.873-2.591 0-3.338 2.498-6.327 6.505-6.327 3.548 0 5.497 2.168 5.497 5.062 0 3.81-1.686 7.025-4.188 7.025-1.382 0-2.416-1.142-2.085-2.545.397-1.674 1.166-3.48 1.166-4.689 0-1.081-.581-1.983-1.782-1.983-1.413 0-2.548 1.462-2.548 3.419 0 1.247.421 2.091.421 2.091l-1.699 7.199c-.505 2.137-.076 4.755-.039 5.019.021.158.223.196.314.077.13-.17 1.813-2.247 2.384-4.324.162-.587.929-3.631.929-3.631.46.876 1.801 1.646 3.227 1.646 4.247 0 7.128-3.871 7.128-9.053.003-3.918-3.317-7.568-8.361-7.568z\"\/><\/svg><\/span><\/a><\/div><\/div>","protected":false},"author":6,"featured_media":0,"parent":253,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":"","_wp_rev_ctl_limit":""},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v22.2 (Yoast SEO v22.2) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Forms - Medical Eye Center<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.medicaleyecenter.com\/resources\/patient-information\/forms\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Forms\" \/>\n<meta property=\"og:description\" content=\"Patient Forms To better serve you, Medical Eye Center\u2019s patient forms are available online. They can be printed and filled out beforehand, then brought to your visit. Please give them to us when you check in for your appointment along with a list of your current medications, insurance card and drivers license or other photo ... Read more\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.medicaleyecenter.com\/resources\/patient-information\/forms\/\" \/>\n<meta property=\"og:site_name\" content=\"Medical Eye Center\" \/>\n<meta property=\"article:modified_time\" content=\"2019-09-26T18:14:25+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.medicaleyecenter.com\/resources\/patient-information\/forms\/\",\"url\":\"https:\/\/www.medicaleyecenter.com\/resources\/patient-information\/forms\/\",\"name\":\"Forms - Medical Eye Center\",\"isPartOf\":{\"@id\":\"https:\/\/www.medicaleyecenter.com\/#website\"},\"datePublished\":\"2019-08-28T18:00:40+00:00\",\"dateModified\":\"2019-09-26T18:14:25+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/www.medicaleyecenter.com\/resources\/patient-information\/forms\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/www.medicaleyecenter.com\/resources\/patient-information\/forms\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/www.medicaleyecenter.com\/resources\/patient-information\/forms\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/www.medicaleyecenter.com\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Resources\",\"item\":\"https:\/\/www.medicaleyecenter.com\/resources\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Patient Information\",\"item\":\"https:\/\/www.medicaleyecenter.com\/resources\/patient-information\/\"},{\"@type\":\"ListItem\",\"position\":4,\"name\":\"Forms\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/www.medicaleyecenter.com\/#website\",\"url\":\"https:\/\/www.medicaleyecenter.com\/\",\"name\":\"Medical Eye Center\",\"description\":\"Improving Vision in Our Community, Our Region, and Our World\",\"publisher\":{\"@id\":\"https:\/\/www.medicaleyecenter.com\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/www.medicaleyecenter.com\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"en-US\"},{\"@type\":\"Organization\",\"@id\":\"https:\/\/www.medicaleyecenter.com\/#organization\",\"name\":\"Medical Eye Center\",\"url\":\"https:\/\/www.medicaleyecenter.com\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/www.medicaleyecenter.com\/#\/schema\/logo\/image\/\",\"url\":\"https:\/\/www.medicaleyecenter.com\/wp-content\/uploads\/2019\/06\/MEC.031819.MoodBoard-3.png\",\"contentUrl\":\"https:\/\/www.medicaleyecenter.com\/wp-content\/uploads\/2019\/06\/MEC.031819.MoodBoard-3.png\",\"width\":2613,\"height\":473,\"caption\":\"Medical Eye Center\"},\"image\":{\"@id\":\"https:\/\/www.medicaleyecenter.com\/#\/schema\/logo\/image\/\"}}]}<\/script>\n<!-- \/ Yoast SEO Premium plugin. -->","yoast_head_json":{"title":"Forms - Medical Eye Center","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.medicaleyecenter.com\/resources\/patient-information\/forms\/","og_locale":"en_US","og_type":"article","og_title":"Forms","og_description":"Patient Forms To better serve you, Medical Eye Center\u2019s patient forms are available online. They can be printed and filled out beforehand, then brought to your visit. Please give them to us when you check in for your appointment along with a list of your current medications, insurance card and drivers license or other photo ... 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