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New Patient Forms

Thank you for choosing State Street Eye for your vision needs. We are delighted to have you as our patient.

For your convenience, please print the patient form below, along with a copy of our Notice of Privacy Policies & Consent Form. We ask that you bring the completed paperwork with you on your appointment, and provide it to our receptionist when you arrive. This will save you time and allow for a more relaxed patient experience upon arrival at our office.

acrobat_reader New Patient Form

acrobat_reader Notice of Privacy Practices & Consent Form

Welcome patients of Visual-Eyes!

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