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Online Forms

At Boshinski Eye Clinic, we value your time. In an effort to save you time in our office, you can download and complete our patient form(s) prior to your appointment.

  • You will need AdobeReaderĀ® to download and complete the forms. Click here to download.
  • Download the required form(s). Print out the form(s) and complete the required information.
  • Fax your printed and completed form(s) to our office or bring them with you to your appointment.

Patient Medical History

Patient Records Release

Financial Signature Release

Please complete this form as it lets us know the history and current state of your health. Let us know what questions, concerns, and goals your have regarding your eye health or vision on the form.


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Form

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Location & Hours

Monday:

9:00am

6:00pm

Tuesday:

8:00am

5:00pm

Wednesday:

9:00am

6:00pm

Thursday:

8:00am

5:00pm

Friday:

9:00am

1:00pm

Saturday:

Closed

Closed

Sunday:

Closed

Closed