Online Forms

Kimberly A. Michel, O.D. Online Forms

At Kimberly A. Michel, O.D., we offer patient forms online so you can complete them in the convenience of your own home or office. Fax or email us your completed forms or bring them with you to your visit.
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  • If you do not already have AdobeReader® installed on your computer, Click Here to download it now.

  • Download the necessary form(s) and fill in the required information.

  • Fax or email us your completed form(s) or bring them with you to your appointment.

English Forms

PDF File
Patient History Form
PDF File
Patient Consent Form


​​​​​​​Formas Españolas

PDF File
Paciente Formulario De Historia
PDF File
Paciente Formulario De Consentimiento
 
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