Patient Forms
Access our patient forms that you can fill out before your next visit to Byron Eye Care in Byron.
- Release of Information [PDF]
- Insurance Agreement [PDF]
- Financial Policy [PDF]
HIPAA: Notice of Privacy Practices
- HIPAA: Notice of Privacy Practices [Read-Only PDF]
Please know that email communication via our website may not be done through a secure platform. Although it is unlikely, there is a possibility that information you include in your submission can be intercepted and read by parties other than the intended recipient. To protect your confidential information, please do not include personal identifying information such as your birth date or personal medical information in any emails or website submissions you send to us.