Marc S. Simmons, O.D., Inc.

		Home
		Our Practice
		Locations
		Our Services
		Eye Care Articles
		Patient Forms
		Promotions
		Visual Field Analysis
		Fundus Photography
		Reorder Contacts

INSTRUCTIONS

Please download and complete patient history form and Receipt of Notice of Privacy Policies & Consent Form prior to your visit. You can view Privacy Policy by clicking on the Notice of Privacy Practices link below. Thank you.

Privacy Form

History Form

This PDF requires a free plugin that may have come included with your browser. If you are having difficulties opening this file Click Here to go to Adobe's web site for Acrobat Reader.

Notice of Privacy Practices