Patient Information

The patient information form can be filled out prior to an initial visit to Haik and Terrell Eye Clinic.

Medical History

The medical history form can be filled out prior to an initial visit or if your medical history has changed recently.

Consent Form

The consent form allows for consent to use and disclose your protected health information for treatment, payment and health care operations.

HIPPA Notice

This form informs you about your rights under HIPPA.