You may save time in our office on the day of
your appointment by printing and completing the
Registration Forms. There are 2 forms ( 3 pages
) to be completed:
- Patient Financial Information (download
PDF file)
- Personal Medical History (download
PDF file)
Submitting your Patient Registration
Due to the secure information requested,
please do not email the completed forms.
To submit the completed forms:
- bring the forms with you to your
appointment
- mail the forms to our office*
Dakota Eye Care Associates
1540 Humboldt Avenue, Suite 201
West St. Paul, MN 55118
* If returning forms by mail, please
postmark at least 3 days prior to your
appointment to ensure ample delivery time. |