Kings Eye Center Medical Group, Inc.
facebook badge
Patient Forms

Please print out and complete the new patient forms prior to your first visit. We have included a HIPAA privacy form, our patient information form, and a copy of our missed appointment policy. If you have any questions please don't hesitate to contact our office. Thank you.

  This PDF requires a free plugin that may have come included with your browser. If you are having difficulties opening this file Click Here to go to Adobe's web site for Acrobat Reader.
Notice of Privacy Practices