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Patient Registration Forms

Please fill out the forms below before your visit and save time at your appointment. You may click on the forms below to open the PDF forms to download and print at home.

  1. Health History Form
  2. Consent for Treatment Form
  3. Designation of Personal Representative
  4. Notice of Privacy Practices
  5. Acknowledgment of Privacy Practices
  6. Contact Lens Agreement

If you have any questions or would like assistance with the forms, please feel free to contact us at (979) 690-0147 during office hours.

Texas State Optical College Station South

 
Appointment Form

Click to Call (979) 200-2341 ▸

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Our Location

850 William D. Fitch Pkwy, Suite 700
College Station, TX 77845