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For your convenience before coming into our office for your appointment you may now print and fill out the appropriate registration forms in advance. Patient Registration Form – all patients visiting any of our Korrect Optical offices will need to complete this form. Welcome to Our Office Form – fill out this form only if you are seeing a Doctor at the time of your visit Korrect Optical “Insurance Claim Filing” form – this form only needs to be filled out if filing an insurance claim Notice of Privacy Practices – HIPPA information – this document only contains information on HIPPA, no signature required Authorization (HIPPA) – for your review Advance Beneficiary Notice – fill out only if a Medicare patient These forms are also available in our offices and can be completed at the time of your appointment. |
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Korrect Optical - Copyright © 2001 - 2003 All Rights Reserved. |
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