Forms

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  • PLEASE DOWNLOAD REGISTRATION PACKET PRIOR TO YOUR APPOINTMENT
New Patient Registration
registration__adult.pdf
File Size: 633 kb
File Type: pdf
Download File

Records Release  from office to physician/legal guardian
Records Release from physician to Dr. Rush's Office
record_release_form.pdf
File Size: 18 kb
File Type: pdf
Download File

registration_child.pdf
File Size: 643 kb
File Type: pdf
Download File

minor_consent.pdf
File Size: 84 kb
File Type: pdf
Download File



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  • Home
  • Optical
  • Billing & Insurance, PAY ONLINE
  • Resources, Eyelid Spray, PATCHES
  • Social
  • Schedule Online
  • PLEASE DOWNLOAD REGISTRATION PACKET PRIOR TO YOUR APPOINTMENT