Patient Forms - Associated Eye Care

Now open in the new Hudson Medical Center, New Richmond Medical Center & Lino Lakes

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Hudson Lino Lakes New Richmond
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New Patient Forms

Please complete and print these New Patient Forms (2) prior to your first visit at Associated Eye Care. Bring the completed forms to your initial visit.

Financial Agreement
download
Verbal Consent
download

Other Forms

Refractions
download
Records Release
download
Consent for Treatment of Minors
Online Form
No Surprises Act
download
HIPAA Privacy Policy
download
Dry Eye Disease Evaluation Form
download
Good Faith Estimate
download
Patient Resources
Referring Providers
Provider Support Staff

Visit one of our seven convenient locations

Hudson Lino Lakes New Richmond Stillwater Woodbury Amery
Affiliated Clinic Baldwin
Affiliated Clinic
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Referring Providers
Contact Us
Local: 651-275-3000
Toll Free: 800-846-1877
LASIK: 888-466-2020
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