top of page

Patient Forms

Please fill out the following patient information forms (patient history questionnaire and HIPAA acknowledgement) and bring them with you to your first visit. 

​By signing the "HIPAA Privacy Act Form/Privacy Policy"

it signifies that you have read the Privacy Policy, listed below:

(you do not have to print or sign this page)

© 2021 by Guidry Eye Care, LLC

bottom of page