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Download & Fill Out Patient Forms in Advance

We know your time is valuable.  Save time by completing these forms prior to your visit. Please click on the forms below to download and print.  You can bring the completed paperwork to your appointment or you can email or fax the completed forms to our office prior to your appointment.  Questions?  Call us at 205-855-2020  Monday-Thursday 8AM to 5PM

                                               Fax Number is 205-858-5010   

                                               Email:  gordoneyecare@gordoneyes280.com

Directions:  Click on the printer icon on each form to download or print forms                                
New Patient/Change of Information Form
          Patient Records Release Form
             Notice of Privacy Practices
                     (For your information)
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