{"id":189,"date":"2022-03-30T17:23:04","date_gmt":"2022-03-30T17:23:04","guid":{"rendered":"https:\/\/renewaloptometry.com\/?page_id=189"},"modified":"2026-02-24T17:00:26","modified_gmt":"2026-02-24T17:00:26","slug":"patient-forms","status":"publish","type":"page","link":"https:\/\/renewaloptometry.com\/index.php\/patient-forms\/","title":{"rendered":"Patient Forms"},"content":{"rendered":"\n

Please click the links below to access a printable version of our forms to bring with you to your exam!<\/p>\n\n\n\n

Patient History Form<\/a>Download<\/a><\/div>\n\n\n\n
Notice of Privacy Practices<\/a>Download<\/a><\/div>\n\n\n\n
HIPAA Acknowledgment Form<\/a>Download<\/a><\/div>\n\n\n\n
Patient Authorization Form<\/a>Download<\/a><\/div>\n\n\n\n
Refusal of Dilation Form<\/a>Download<\/a><\/div>\n\n\n\n
Records Release Form<\/a>Download<\/a><\/div>\n\n\n\n
Missed Appointment Policy<\/a>Download<\/a><\/div>\n\n\n\n
Payment Policy<\/a>Download<\/a><\/div>\n\n\n\n
Rental Policy<\/a>Download<\/a><\/div>\n\n\n\n
\n
Schedule Now!<\/a><\/div>\n<\/div>\n\n\n\n

<\/p>\n\n\n\n

<\/p>\n\n\n\n

<\/p>\n","protected":false},"excerpt":{"rendered":"

Please click the links below to access a printable version of our forms to bring with you to your exam!<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-189","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/renewaloptometry.com\/index.php\/wp-json\/wp\/v2\/pages\/189","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/renewaloptometry.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/renewaloptometry.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/renewaloptometry.com\/index.php\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/renewaloptometry.com\/index.php\/wp-json\/wp\/v2\/comments?post=189"}],"version-history":[{"count":14,"href":"https:\/\/renewaloptometry.com\/index.php\/wp-json\/wp\/v2\/pages\/189\/revisions"}],"predecessor-version":[{"id":524,"href":"https:\/\/renewaloptometry.com\/index.php\/wp-json\/wp\/v2\/pages\/189\/revisions\/524"}],"wp:attachment":[{"href":"https:\/\/renewaloptometry.com\/index.php\/wp-json\/wp\/v2\/media?parent=189"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}