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A Vision Source Office

2366 El Camino Real, Suite 5 | Santa Clara | CA 95050
Quality Eye Care Services and Eye Wear
Forms
NEW PATIENTS: Please print and fill out the Welcome Form and Medical/Vision History Forms on this page to expedite your exam.
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Please sign and date forms and remember to bring them with you to your appointment.
Please review our office's Privacy Practices, which is in compliance with HIPAA (Health Insurance Portability and Accountability Act) and sign and date the consent form to bring with you to your appointment.
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HIPAA
We look forward to seeing you in our office soon!
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