Premier Eye Care and Surgery
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Dr Jason Jacobs physician specializing in Lasik Eye Care Surgery
Care including state-of-the-art laser eye surgery procedures including LASIK
Premier Location seeking Lasik in Colorado
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A convenient place for our patients to download our care forms

Patient Information and Forms

Please feel free to download and print these forms prior to your initial visit.  If you complete them in advance and bring them to the office, it will speed up your registration at your visit.

Financial Policy and Patient Agreement
Patient Information Form
Notice of Privacy Practices
Patient History Form

Forms are in PDF format, to download Acrobat Reader click here.

1/10/2006
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Premier Eye Care & Surgery, PC., 950 East Harvard Avenue, Suite 320, Denver Colorado 80210, 303.282.5467