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Patient Forms
For your convenience, new patient forms are available to you online. By completing the forms prior to your arrival for your scheduled appointment, this may save you time in our office.
- Patient History
Please fill out this form and bring it with you to your initial appointment. Thank you. - Patient Acknowledgement of Receipt of Privacy Practices and Authorization to Release Information
Please complete this form and bring it with you to your initial appointment. Thank you. - Financial Agreement and Lifetime Signature Authorization
Please fill out this form and bring it with you to your appointment. Thank you. - Routine Eye Exams, Medical Eye Exams, and Refractions
Please fill out this form and bring it with you to your appointment. Thank you. - Lifestyle Questionnaire
If you are being evaluated for cataract or lens replacement or vision correction surgery, please complete this short questionnaire and bring it with you to help us get a better understanding of how you use your eyes day to day. Thank you. - Notice of Privacy Practices
Please retain a copy of this form for your records. Thank you. - Medical Records Release
Please complete this form if you wish for us to obtain copies of your medical records. Thank you.
Driving Directions
Dr. Manning proudly offers LASIK surgery and other eye care services to those traveling from nearby communities. For your convenience, we have provided driving directions from the following cities: