Kozol Vision Center, Inc. - Patient Forms

Kozol Vision Center, Inc.
Patient Forms
Demographics "Getting to Know You"
Responsibility for payment if insurance does not cover materials and services
HIPAA Legal Rights pertaining to privacy and OPTOS Waiver

  These PDFs require a free plugin that may have come included with your browser. If you are having difficulties opening these files Click Here to go to Adobe's web site for Adobe's PDF reader.