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Patient Forms
Access our patient forms that you can fill out before your next visit to Restore Eye Care & Eye Gym in State College.
Our Forms
- Privacy Notice [PDF]
- Release of Information [PDF]
- Signature on File [PDF]
- Lifestyle Checklist Form [PDF]
- Post Vision Therapy Questionnaire [PDF]
- Electronic Media Consent Form [PDF]
Online Forms
- Privacy Notice
- Release of Information
- Signature on File
- Lifestyle Checklist Form
- Post Vision Therapy Questionnaire
- Electronic Media Consent Form
Online Form Packets
- New Patient Forms
- Vision Therapy Consultations
- Established patients