lake shore retina
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 THIS PRACTICE HAS CLOSED PERMANENTLY.
PLEASE CLICK ON OFFICE CLOSURE LETTER FOR FURTHER INFORMATION.

LAKE SHORE RETINA, S.C.

OFFICE CLOSURE LETTER
RECORD RELEASE FORM

USEFUL FORMS FOR PATIENTS


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PATIENT REGISTRATION FORM

Please download and complete this new patient registration form and bring with you to your first appointment along with a photo ID and insurance card.
patient registration form
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PAST MEDICAL & SOCIAL HISTORY FORM

Please download and complete this medical and social history form to the best of your knowledge and bring with you to your first appointment.
PAST MEDICAL AND SOCIAL HISTORY FORM
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HIPPA FORM

Please download and sign this privacy form and bring with you to first your appointment.
HIPAA privacy form

Location

What Our Clients Are Saying

"Great bedside manner. Really nice office with modern equipment. Convenient location near the Red Line train and Broadway bus. I will be back."
"Simply the best experience...I felt heard and expertly cared for. Seriously, the best doctor's appointment I've ever had."
"...by far the best ophthalmologist I've ever seen...Highly recommended."
"The reviews I have read were all true. I would highly recommend [this office] to anyone considering which ophthalmologist they should see. The receptionist was also friendly, organized and even contacted me to confirm my appointment."

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