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Patient Forms

You may access the following forms to assist us with your care.

Online Forms

Please complete the following forms, and click the "Submit" button at the bottom of each form.

*We are committed to keeping your personal information secure. All of our online forms are submitted via a secure connection and are HIPAA compliant.

Printable Forms

Please print and fill out the following forms, then bring them to your appointment.


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*These forms require Adobe Acrobat Reader. Click the Adobe logo above to download.

New Mexico Eye Clinic

  • New Mexico Eye Clinic - 2300 E. 30th St. Suite 105, Farmington, NM 87401 Phone: 505-327-0406 Fax: 505-326-4691

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