Dr. Suzanne D. Huang, O.D &
​Dr. Marissa Huang, O.D
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Patient Forms

hipaa_consent_form_pdf.pdf
File Size: 16 kb
File Type: pdf
Download File

vsp_consent_form_pdf.pdf
File Size: 18 kb
File Type: pdf
Download File

medicare_signature_form_pdf.pdf
File Size: 21 kb
File Type: pdf
Download File

new_patient_forms.pdf
File Size: 159 kb
File Type: pdf
Download File

Please download, print and  complete these above forms before your office visit for your convenience. Please bring in the forms to your upcoming eye examination. If you are able to you can fax or email them once completed.

INSTRUCTIONS TO PRINT:
1. Click form and download to desktop
2. Print form
3. Bring signed form to appointment, or fax to (415) 892-7000 attention Stephanie

HIPAA full text

hipaa_notice_of_privacy_practices_full_text_pdf.pdf
File Size: 127 kb
File Type: pdf
Download File

  • Home
  • Appointment Request
  • Our Practice
  • COVID 19 Safety
  • Patient Forms
  • Our Services
  • Contact Us
  • Contáctenos
  • More
    • Community Service
    • Eye Care Articles
    • Promotions