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Patient Forms

Welcome to Stoughton Eye Care and Eyewear. For your convenience, you can print and fill out the applicable form and present it to the front desk when you arrive for your first office visit. If you have any questions please give us a call at 608-205-6810 or Contact Us online.




Medical History Questionnaire

Notice of Privacy Practices

Acknowledgement of Receipt of Privacy Practices


Welcome to Stoughton Eye Care and Eyewear. For your convenience, you can print and fill out the applicable form and present it to the front desk when you arrive for your first office visit. If you have any questions please give us a call at 608-205-6810 or Contact Us online.

Medical History Questionnaire

Notice of Privacy Practices

Acknowledgement of Receipt of Privacy Practices