If you have an upcoming exam at LUX and want to do your paperwork ahead of time... CLICK HERE.
New patients fill out both pages. Established patients only fill out 2nd page and update any information that may have changed since we saw you last on the first page.
LUX PATIENT EXAM FORM
Your rights in terms of your personal information and how your information is used by our office. Privacy of your information is pertinent to us, you can further read steps taken at LUX to fully comply with HIPPA regulations. CLICK HERE
Form discussing insurance payment and patient liability for any charges not covered by your insurance plan for any reason.