HORNER EYE CARE, LTD.
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patient  forms

Patient Forms

covid19_precautions.pdf
File Size: 33 kb
File Type: pdf
Download File

medical_history.pdf
File Size: 624 kb
File Type: pdf
Download File

Authorization to Release Medical
File Size: 42 kb
File Type: pdf
Download File

Notice of Privacy Practices
File Size: 2105 kb
File Type: pdf
Download File

HIPAA Complaint Report
File Size: 525 kb
File Type: pdf
Download File

Contact Us
10016 Main Street
Richmond, IL 60071
Phone: 815-678-3937
Office Hours
Tue     9:00 am - 6:00 pm
Wed    9:00 am - 2:00 pm
Thu     9:00 am - 6:00 pm
Fri       9:00 am - 2:00 pm
Sat      9:00 am - Noon
Notice of Privacy Practices
Website by Eyefinity
  • Home
  • Our Practice
  • Our Services
    • Warranty
    • Contact Lens Policy
    • Office Policies
  • Patient Forms
  • Eye Care Articles
  • Location