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    • Home
    • services
    • Patient center
    • Community
    • About US
    • Contact
Suarez Optical
  • Home
  • services
  • Patient center
  • Community
  • About US
  • Contact

Patient Forms

Here you will find our online forms. Please fill out the Patient History, Neurolens and Electronic Records Authorization forms and send it to us at suarezopticalinfo@gmail.com or bring it in filled out the day of your appointment to ensure a speedy check-in process.  

Patient History - English (pdf)Download
Patient History - Spanish (pdf)Download
Neurolens - English (pdf)Download
Neurolens - Spanish (pdf)Download
Medical Records Authorization (pdf)Download
Electronic Records Authorization (pdf)Download
Notice of Privacy Practices (pdf)Download

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Suarez Optical

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Receive a $100 gift card!!

 

Neurolens is offering a $100 gift card for any new glasses purchased with Neurolens lenses!   

 

So, if you have held off on getting Neurolens in the past due to financial constraints, now is a great time to revisit the idea. Or, if you aren't sure if you are a good candidate, this is also a great time to come in for an eye exam to find out!


Either way, Neurolens technology has never been more affordable. So make your appointment with Dr. Vazquez or Dr. Franco to find out how to get Neurolens in your next set of glasses and start enjoying the benefits of this amazing technology today!