EYE CARE ARKANSAS PA

Please complete this form if you are a new patient or have not been here in more than a year. It would be helpful to complete this form if you are a returning patient with several changes, such as a name change, address change or insurance changes.

Please complete this form if you are a new patient or have not see Dr. Doan in three or more years.

Please complete this form if you are a new patient or have not seen Dr. Hooper or Dr. Lunsford in three or more years.

This is our Mission Statement and Financial policy.  Please read over this policy.  We will ask that you sign this statement to show you have read and understand.  If you have any questions, please feel free to ask. 

  This PDF requires a free plugin that may have come included with your browser. If you are having difficulties opening this file Click Here to go to Adobe's web site for Acrobat Reader.