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At Cornea and Contact Lens Institute of Minnesota, we value your time. In an effort to save you time in our office, you can download and complete our patient form(s) prior to your appointment.

  • You will need AdobeReader® to download and complete the forms. Click here to download.
  • Download the required form(s). Print out the form(s) and complete the required information.
  • Fax your printed and completed form(s) to our office or bring them with you to your appointment.

HIPAA/Privacy Summary

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Patient Information

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Soft Contact Lens Agreement

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Records Release Form

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If you want to request records from your previous Optometrist, you can fill out this form and either send it to them or to us to request those records.

Specialty Contact Lens Agreement

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If you were referred to our office or found us because you know you need custom contact lenses, please read through our specialty contact lens agreement. If you have any questions feel free to give us a call.