We are excited to serve you!
As a new patient at Starkville Eye Clinic, you can help us serve you more quickly by providing accurate health and personal information.
Please know that we take your privacy seriously (review our privacy and other policies) and comply with all federal and state standards including HIPAA (Health Insurance Portability and Accountability Act) guidelines.
To help with your first visit with us, please print and complete the following documents (all are .pdf files that open in a new browser tab) as specified below:
- Medical History — please complete
- New Patient Information — please complete
- Financial Policy — please read and sign
- Statement of Financial Responsibility — please read and sign
- Eyeglass Policy — please read and sign
- Contact Lens Agreement — please read and sign