Dr. Stephen S. Jennings, O.D.

We keep Your Eyes in Sight !

 

Dr. Stephen S. Jennings, O. D. with his eye exam equipment.

 

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EyeNet

PATIENT FORMS - New or Returning

 

        We have put our forms  for new or returning patients online so you can print them out from your computer at your convenience, fill in your medical information at home and bring the completed form with you when your appointment day arrives. This will make your appointment go faster.

        We suggest that you fill out the forms by hand, not while on your computer for your own privacy protection.

        This Link will open a TEXT (rtf) file for you to Print a two (2) page form: New or Renewing Patient Form

 

 

Thank you for being our patient,
we care about your eyes.

 

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Visitors since November 29, 2006
 

 
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Last modified: 02/12/08