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Patient Forms 

These forms ask for information about your medical history, insurance and other important information helpful and necessary to the physician and staff of Retina Centers of Alabama. The information you provide on the forms can’t be transferred or downloaded electronically from the form so it must be entered manually.


Please feel free to download and complete these forms prior to your appointment at Retina Centers of Alabama.

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To Schedule An Appointment

Call 256.536.0505

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