Alamo Eye Care - Patient Forms

Alamo Eye Care

Eye Care Articles

Contact Us:

Phone: 210-521-2085

Fax: 210-509-0962

6450 N.W. Loop 410, Suite 115
San Antonio, TX 78238
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Across from Ingram Park Mall, in the Village of Ingram Park III, in the same center as Laser Quest, Slick Willie's Pool Hall and Panda Buffet.

Hours:

Mon 9:00 am - 6:00 pm
Tue, Thu 8:00 am - 5:00 pm
Wed 8:00 am - 6:00 pm
Fri 8:00 am - Noon

Saturday appointments available upon request

Notice of Privacy Practices

HIPAA

Patient Privacy Form (HIPAA)- Please read over carefully.

HIPAA Signature

HIPAA Signature Page - Please choose one option and sign the form.

Registration & Financial Responsibi

Please complete both sides of form. Choose an option concerning "Dilation of the Pupils". Sign under "Dilation of the Pupils" and also under

Patient Form4

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