Dr. Veda Szeto Optometry Patient Form2017-10-16T15:27:52+00:00

Dr. Veda Szeto Optometry Patient Form

  • Dr. Veda Szeto Optometry

  • IMPORTANT: This questionnaire is to be reviewed at each appointment. Please answer all questions.

  • Medical Information

    Please check all that apply.
  • Family History

  • Personal Eye Information

  • Doctor use only

  • I understand my right to privacy under HIPAA.
  • I have read and understand your office policies.
  • Please visit our website to read more about our office policies and your protection under HIPAA